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NPI Code Detail

MEDICARE: SANQUISHA SYMONE FAISON PMHNP-BC

MEDICARE: SANQUISHA SYMONE FAISON PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner31454SC

General Provider Information

NPI Number : 1548119654
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANQUISHA SYMONE FAISON PMHNP-BC
Provider Business Mailing Address
First Line : 11782 CPL ANTHONY J CARSON ST
Second Line :
City : EL PASO
State : TX
Zip : 79908-3227
Country : US
Telephone Number : 843-372-6880
Fax Number :
Provider Business Practice Location Address
First Line : 500 W MONROE ST STE 28
Second Line :
City : CHICAGO
State : IL
Zip : 60661-3777
Country : US
Telephone Number : 877-751-5783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ SANQUISHA SYMONE FAISON PMHNP-BC” Practice Location

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