Dr. Latisha Nicole Smith
Nurse Practitioner, Psych/Mental Health in San Diego, CA. Individual provider (NPI-1).
NPI number1194352591
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1194352591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Latisha Nicole Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP61318754 | WA | Yes |
Practice location
Comnavsurfpac2841 Rendova Road
San Diego, CA 92155-5490
Phone 619-556-8449
Mailing address
2170 Birch Rd Apt 110Chula Vista, CA 91915-2034
Phone 301-300-1199
Other practice locations
Walter Reed National Military Medical Center
Bethesda, MD 20889-0001
Bethesda, MD 20889-0001
Phone 301-300-1199
9040 Jackson Ave
Tacoma, WA 98431-0001
Tacoma, WA 98431-0001
Phone 301-300-1199
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