Individual provider · Type 1 NPI

Lisa Marie Fernandes, LPN

Licensed Practical Nurse · Jacksonville, IL

NPI number 1265206692 Active

Practice location

1429 S. Main St. Dhs/drs/hsd, Suite C
Jacksonville, IL 62650

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043077146 (IL)

Licensed Practical Nurse: An individual 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.

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About NPI 1265206692

Lisa Marie Fernandes, LPN's National Provider Identifier is 1265206692, issued on Nov 7, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jacksonville, IL. The record was last updated on Nov 7, 2023.