MS. LISA ELLINGWOOD, APRN, PMHNP-BC
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1083255343
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 041.385774 (IL) |
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | 209.020407 (IL) |
Frequently Asked Questions
NPI 1083255343 is the National Provider Identifier for MS. LISA ELLINGWOOD, APRN, PMHNP-BC, a Nurse Practitioner - Psychiatric/Mental Health provider located in Champaign, IL. This NPI was enumerated on October 7, 2019.
MS. LISA ELLINGWOOD, APRN, PMHNP-BC practices at 1802 S MATTIS AVE, Champaign, IL 61821.
Quick Facts
- NPI
- 1083255343
- Type
- Individual
- Enumerated
- Oct 7, 2019
- Last Updated
- Apr 22, 2024
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