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Lisa A. Ellingwood, RN
Psychiatric/Mental Health Nurse Practitioner in Champaign, Illinois
NPI 1083255343

Lisa A. Ellingwood is a Psychiatric/Mental Health Nurse Practitioner based in Urbana, IL and is specialized in Psychiatric/Mental Health. Lisa A. Ellingwood practices in Champaign, IL and has the professional credentials of RN. The NPI Number for Lisa A. Ellingwood is 1083255343 and holds a License No. 041.385774 (Illinois).

The current practice location address for Lisa A. Ellingwood is 1802 S Mattis Ave, Champaign, IL and can be reached out via phone at 217-898-7064 and via fax at 217-255-9723. You can also correspond with Lisa A. Ellingwood through the mailing address at 2305 GRANGE DR, URBANA, IL - 61801-6665 (mailing address contact number: 217-898-7064).

Location: 1802 S Mattis Ave, Champaign, IL, 61801-6665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083255343
Provider Name
Lisa A. Ellingwood
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1802 S Mattis Ave, Champaign, IL, 61801-6665
Phone Number
217-898-7064
Fax Number
217-255-9723
Provider Enumeration Date
10/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1802 S Mattis Ave
City
Champaign
State
Illinois
Zip
61821-5923
Phone Number
217-898-7064
Fax Number
217-255-9723
person
Provider Business Mailing Address Details
Address
1802 S Mattis Ave
City
Champaign
State
Illinois
Zip
61821-5923
Phone Number
217-898-7064
Fax Number
217-255-9723
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
209.020407 (Illinois)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
041.385774 (Illinois)
Definition
Definition to come...
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