Individual provider · Type 1 NPI

John S. Lilly, RN

Psychiatric/Mental Health Nurse Practitioner · Anchorage, AK

NPI number 1447076005 Active

Practice location

1840 Bragaw St Ste 110
Anchorage, AK 99508-3463

Fax (907) 222-1745

Mailing address

700 N M St
Pensacola, FL 32501-2735

Other practice locations

  • 123 Baptist Way, Pensacola, FL 32503-2254 · (448) 227-3351

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X9550516 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26228 (AK)

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

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About NPI 1447076005

John S. Lilly, RN's National Provider Identifier is 1447076005, issued on Nov 28, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Anchorage, AK. The record was last updated on Nov 1, 2026.