Individual
MS. LISA ANNETTE ELLINGWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
(217) 365-2856
Mailing address
1802 S. MATTIS AVE, CHAMPAIGN, IL 61821
(217) 365-2855
(217) 365-2856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.385774
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.020407
IL
Other
Enumeration date
10/07/2019
Last updated
04/22/2024
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