Individual
MINETTE ROQUE SAMPANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1106 NEAL AVE, JOLIET, IL 60433-2548
(815) 727-8670
Mailing address
1106 NEAL AVE, JOLIET, IL 60433-2548
(815) 727-8670
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029652
IL
Other
Enumeration date
05/17/2024
Last updated
12/16/2025
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