person
Lisa Evans, NP
Pediatric Nurse Practitioner in Rockford, Illinois
NPI 1750539078

Lisa Evans is a Pediatric Nurse Practitioner based in Rockford, IL and is specialized in Pediatrics. Lisa Evans practices in Rockford, IL and has the professional credentials of NP. The NPI Number for Lisa Evans is 1750539078 and holds a License No. 209006345 (Illinois).

The current practice location address for Lisa Evans is 2300 N Rockton Ave, Rockford, IL and can be reached out via phone at 815-971-2000.

Location: 2300 N Rockton Ave, Rockford, IL, 61103-3619
person
Provider Profile Details
NPI Number
1750539078
Provider Name
Lisa Evans
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2300 N Rockton Ave, Rockford, IL, 61103-3619
Phone Number
815-971-2000
Fax Number
Provider Enumeration Date
08/28/2008
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209006345 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
2300 N Rockton Ave
City
State
Zip
61103-3619
Phone Number
815-971-2000
Fax Number
person
Provider Business Mailing Address Details
Address
2300 N Rockton Ave
City
State
Zip
61103-3619
Phone Number
815-971-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209006345 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Pediatrics
Taxonomy
License No.
209006345 (Illinois)
Definition
Definition to come...
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