Individual provider · Type 1 NPI
Charisse N. Fullwood, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC
NPI number
1154085629
Active
Practice location
3200 Blue Ridge Rd Ste 218
Raleigh, NC 27612-8087
Other practice locations
- 10901 World Trade Blvd, Raleigh, NC 27617-4203 · (919) 372-4408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0000000 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1154085629
Charisse N. Fullwood, PMHNP-BC's National Provider Identifier is 1154085629, issued on Oct 29, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Raleigh, NC. The record was last updated on May 21, 2026.