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Nakeisha Nicole Weathersby, CNM, APN

Nurse Practitioner, Obstetrics & Gynecology in Chicago, IL. Individual provider (NPI-1).

NPI number1376972000
StatusActive
Last updated in NPPESMay 29, 2025

Details

NPI
1376972000
Entity type
Individual (NPI-1)
Name
Mrs. Nakeisha Nicole Weathersby
Credential
CNM, APN
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 4, 2013
Certification date
May 29, 2025
Last updated
May 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LX0001X Nurse Practitioner, Obstetrics & Gynecology209010565ILYes

Practice location

1801 W Taylor St
Chicago, IL 60612-4795

Phone 866-600-2273

Mailing address

1507 E. 53rd St
Mailbox 402
Chicago, IL 60615

Phone 773-991-5757

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