Individual provider · Type 1 NPI

Latisha Nicole Smith

Psychiatric/Mental Health Nurse Practitioner · San Diego, CA

NPI number 1194352591 Active

Practice location

Comnavsurfpac, 2841 Rendova Road
San Diego, CA 92155-5490

Call (619) 556-8449 Map

Mailing address

2170 Birch Rd Apt 110
Chula Vista, CA 91915-2034

Other practice locations

9040 Jackson Ave, Tacoma, WA 98431-0001 · (301) 300-1199
Fort Belvoir Community Hospital, 9300 Dewitt Loop, Fort Belvoir, VA 22060 · (301) 300-1199
Children's Hospital Of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104 · (301) 300-1199
Walter Reed National Military Medical Center, Bethesda, MD 20889-0001 · (301) 300-1199

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	AP61318754 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1194352591

Latisha Nicole Smith's National Provider Identifier is 1194352591, issued on Mar 25, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Feb 13, 2025.