Individual provider · Type 1 NPI
Tibessa Lawrence-Ellis
Nurse Practitioner · Chicago, IL
Practice location
835 S Wolcott Ave # E144
Chicago, IL 60612-3748
Mailing address
2119 S 24th Ave
Broadview, IL 60155-2823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 277.003029 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1679979298
Tibessa Lawrence-Ellis's National Provider Identifier is 1679979298, issued on Nov 10, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 7, 2024.