person
Lisa Nannie, FNP
Primary Care Nurse Practitioner in Peoria, Illinois
NPI 1417962937

Lisa Nannie is a Primary Care Nurse Practitioner based in Chicago, IL and is specialized in Primary Care. Lisa Nannie practices in Peoria, IL and has the professional credentials of FNP. The NPI Number for Lisa Nannie is 1417962937 and holds a License No. 209001338 (Illinois).

The current practice location address for Lisa Nannie is 8914 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-691-9110.

Location: 8914 N Knoxville Ave, Peoria, IL, 60686-0001
person
Provider Profile Details
NPI Number
1417962937
Provider Name
Lisa Nannie
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
8914 N Knoxville Ave, Peoria, IL, 60686-0001
Phone Number
309-691-9110
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
050884 01 IL HEALTH ALLIANCE
IL01W1 01 IL JOHN DEERE
472307 01 IL HEALTHLINK
7215059 01 IL BCBS PPO
institution
Provider Business Practice Location Address Details
Address
8914 N Knoxville Ave
City
State
Zip
61615-1410
Phone Number
309-691-9110
Fax Number
person
Provider Business Mailing Address Details
Address
8914 N Knoxville Ave
City
State
Zip
61615-1410
Phone Number
309-691-9110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209001338 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209001338 (Illinois)
Definition
Definition to come...
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