Healthcare Provider Details

I. General information

NPI: 1760026736
Provider Name (Legal Business Name): AKISHA TOUSSAINT PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2019
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 W LAKE MEAD PKWY
HENDERSON NV
89015-6954
US

IV. Provider business mailing address

600 B ST STE 1570
SAN DIEGO CA
92101-4560
US

V. Phone/Fax

Practice location:
  • Phone: 646-541-9586
  • Fax:
Mailing address:
  • Phone: 619-615-0439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number847208
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number847208
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number761396
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: