Individual provider · Type 1 NPI

Lisa Marie Meredith, APN

Psychiatric/Mental Health Nurse Practitioner · Granite City, IL

NPI number 1730075359 Active

Practice location

50 Northgate Industrial Dr
Granite City, IL 62040-6805

Mailing address

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209.032511 (IL)

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

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About NPI 1730075359

Lisa Marie Meredith, APN's National Provider Identifier is 1730075359, issued on Jun 18, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Granite City, IL. The record was last updated on Jun 18, 2025.