Fernandes, Lisa Marie

Fernandes, Lisa Marie is an sole proprietor health care provider with primary practice located at 1429 S. Main St. Dhs/Drs/Hsd Suite C, Jacksonville IL 62650. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fernandes, Lisa Marie can be contacted via phone (217) 245-9585.

Contact Information

Primary practice address
1429 S. Main St. Dhs/Drs/Hsd Suite C Jacksonville IL 62650
Phone: (217) 245-9585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043077146 Illinois

Profile Details

NPI number 1265206692
LBN Legal business name Fernandes, Lisa Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2023
Last updated Nov 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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