Individual
LISA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000
Mailing address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209006345
IL
364SP0200X
Pediatric Clinical Nurse Specialist
209006345
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209006345
LICENSE
IL
Enumeration date
08/28/2008
Last updated
05/28/2024
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