Individual provider · Type 1 NPI

Shirlisa Love

Psychiatric/Mental Health Nurse Practitioner · Belleville, IL

NPI number 1104691815 Active

Practice location

112 Meadowcrest Drive
Belleville, IL 62221

Call (618) 298-7601 Map

Mailing address

112 Meadowcrest Dr
Belleville, IL 62221-6749

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209029158 (IL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2023046705 (MO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104691815

Shirlisa Love's National Provider Identifier is 1104691815, issued on Nov 22, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Belleville, IL. The record was last updated on Aug 11, 2026.