Healthcare Provider Details

I. General information

NPI: 1396347522
Provider Name (Legal Business Name): ADAMA WEATHERSPOON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADAMA CHISLEY

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7307 WESTWIND DR
NORTH LITTLE ROCK AR
72113-9505
US

IV. Provider business mailing address

7307 WESTWIND DR
NORTH LITTLE ROCK AR
72113-9505
US

V. Phone/Fax

Practice location:
  • Phone: 501-658-4209
  • Fax:
Mailing address:
  • Phone: 501-658-4209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number132958
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: