Weatherspoon, Zakiyyah V

Weatherspoon, Zakiyyah V is an individual health care provider with primary practice located at 3120 N Oak Street Ext Ste B , Valdosta GA 31602-5910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Weatherspoon, Zakiyyah V can be contacted via phone (229) 671-6172.

Contact Information

Primary practice address
3120 N Oak Street Ext Ste B Valdosta GA 31602-5910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN177186 Georgia

Profile Details

NPI number 1285904250
LBN Legal business name Weatherspoon, Zakiyyah V
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2012
Last updated Mar 7th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285904250 NPPES
Georgia MEDICAID 003196084A

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