Healthcare Provider Details

I. General information

NPI: 1568388106
Provider Name (Legal Business Name): MEGAN SPEARMAN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12757 EDGEWOOD DR
LAKE VIEW AL
35111-2029
US

IV. Provider business mailing address

12757 EDGEWOOD DR
LAKE VIEW AL
35111-2029
US

V. Phone/Fax

Practice location:
  • Phone: 760-387-8856
  • Fax: 760-266-6144
Mailing address:
  • Phone: 760-387-8856
  • Fax: 760-266-6144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number894894
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: