MRS. LISA MARIE FERNANDES LPN NPI 1265206692

NPI Information

NPI: 1265206692
Provider Name: MRS. LISA MARIE FERNANDES, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
1429 S. MAIN ST. DHS/DRS/HSD
SUITE C
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 245-9585
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MRS. Lisa Marie Fernandes, LPN is a licensed practical nurse in Jacksonville, IL. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Lisa Marie Fernandes, LPN NPI is 1265206692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1429 S. MAIN ST. DHS/DRS/HSD
SUITE C
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 245-9585

The enumeration date for this NPI number is 11/7/2023 and was last updated on 11/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		043077146	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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