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General NPI Number Information
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NPI Number | 1285904250
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Entity Type | Individual
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Provider Name | ZAKIYYAH V WEATHERSPOON FNP-BC; PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 105 W CRANFORD AVE
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City | VALDOSTA
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State | GA
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Zip | 31602-2930
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Country | US
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Telephone | 229-247-7350
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Fax | 229-468-0042
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Provider Business Mailing Address
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Address Line | 105 W CRANFORD AVE
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City | VALDOSTA
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State | GA
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Zip | 31602-2930
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Country | US
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Telephone | 229-244-1400
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Fax | 229-244-5512
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN177186
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 878474
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 87874
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1167765
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024193458
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN177186
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1167765
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11001450
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024193458
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License Number State | VA
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