Individual
MRS. TENISHIA KIM SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1631 MIDTOWN PL STE 104-110, RALEIGH, NC 27609-1300
(363) 355-2142
(336) 863-1925
Mailing address
1631 MIDTOWN PL STE 104-110, RALEIGH, NC 27609-1300
(336) 355-2142
(336) 933-8280
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024176300
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2025015621
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01421600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003208756A
—
GA
05
—
50050148
—
OR
Enumeration date
02/11/2018
Last updated
04/09/2026
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