Individual provider · Type 1 NPI

Jillian Lisiakowski, APRN

Family Nurse Practitioner · Orange City, FL

NPI number 1609475151 Active

Practice location

2824 Enterprise Rd
Orange City, FL 32763-8428

Call (386) 774-7411 Map

Fax (386) 774-7412

Mailing address

PO Box 102222
Atlanta, GA 30368-2222

Other practice locations

  • 169 Madison Ave Ste 2817, New York, NY 10016-5101 · (888) 553-2823
  • 6060 Lakeside Commons Dr, Macon, GA 31210-5778 · (478) 745-9204

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11030648 (FL)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1609475151

Jillian Lisiakowski, APRN's National Provider Identifier is 1609475151, issued on Oct 25, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orange City, FL. The record was last updated on Jul 16, 2025.