Individual provider · Type 1 NPI
Samuel Speights, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1194405209
Active
Practice location
10737 Camino Ruiz
San Diego, CA 92126-2359
Fax (619) 474-4008
Mailing address
637 3rd Ave Ste E1
Chula Vista, CA 91910-5707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95030582 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194405209
Samuel Speights, PMHNP-BC's National Provider Identifier is 1194405209, issued on Jul 24, 2023. 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 Sep 2, 2026.