| Ms Shavon Monique Weatherspoon, NURSE PRACTITIONER | |
|
910 N Dwight Ave, Compton, CA 90220-1608 | |
| (310) 714-0734 | |
| Not Available |
| Full Name | Ms Shavon Monique Weatherspoon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 910 N Dwight Ave, Compton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033712435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | AG10200170 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | The Roads Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508278359 PECOS PAC ID: 2961722558 Enrollment ID: O20150521002128 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shavon Monique Weatherspoon, NURSE PRACTITIONER 910 N Dwight Ave, Compton, CA 90220-1608 Ph: (310) 714-0734 | Ms Shavon Monique Weatherspoon, NURSE PRACTITIONER 910 N Dwight Ave, Compton, CA 90220-1608 Ph: (310) 714-0734 |
Ms. Gloria Ngozi Okoh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 349 W Compton Blvd, Compton, CA 90220 Phone: 310-438-2151 | |
Katina Latrice Holliday, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4200 E Compton Blvd, Compton, CA 90221 Phone: 213-488-9559 | |
Erika B Yanez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 S Grandee Ave, Compton, CA 90220 Phone: 323-812-8723 | |
Debby Mcclendon, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 N Central Ave, Compton, CA 90220 Phone: 310-635-7123 Fax: 310-635-0535 | |
Jeanette Monique Kidd, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1112 N Santa Fe Ave, Compton, CA 90221 Phone: 310-638-1100 Fax: 310-638-0008 | |
Mrs. Benedicta Ngozi Ilouno, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 S Long Beach Blvd, Compton, CA 90221 Phone: 310-627-5850 Fax: 310-532-7888 |