Carletta Petronella Weatherspoon, NP
Nurse Practitioner, Family in Atlanta, GA. Individual provider (NPI-1).
NPI number1720328362
StatusActive
Last updated in NPPESOct 29, 2025
Details
- NPI
- 1720328362
- Entity type
- Individual (NPI-1)
- Name
- Carletta Petronella Weatherspoon
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2013
- Certification date
- Oct 29, 2025
- Last updated
- Oct 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN-NP267270 | GA | Yes |
| 363LF0000X | Nurse Practitioner, Family | F337753-1 | NY |
Practice location
2292 Peachtree Rd NwAtlanta, GA 30309-1147
Phone 404-996-0120 · Fax 404-351-6762
Mailing address
160 Reserve DrCovington, GA 30014-5898
Phone 516-317-7337
Other practice locations
1 Healthy Way
Oceanside, NY 11572-1551
Oceanside, NY 11572-1551
Phone 516-377-0931
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