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General NPI Number Information
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NPI Number | 1548119654
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Entity Type | Individual
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Provider Name | SANQUISHA SYMONE FAISON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 500 W MONROE ST STE 28
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City | CHICAGO
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State | IL
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Zip | 60661-3777
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Country | US
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Telephone | 877-751-5783
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Fax |
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Provider Business Mailing Address
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Address Line | 11782 CPL ANTHONY J CARSON ST
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City | EL PASO
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State | TX
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Zip | 79908-3227
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Country | US
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Telephone | 843-372-6880
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 31454
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License Number State | SC
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