Individual provider · Type 1 NPI

Minette Roque Sampang, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Joliet, IL

NPI number 1912756339 Active

Practice location

1106 Neal Ave
Joliet, IL 60433-2548

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209029652 (IL)

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

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About NPI 1912756339

Minette Roque Sampang, PMHNP-BC's National Provider Identifier is 1912756339, issued on May 17, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Joliet, IL. The record was last updated on Dec 16, 2025.