Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA ANNE BANNISTER
ActiveLISA ANNE BANNISTER is a Women's Health Nurse Practitioner healthcare provider located in JOLIET, Illinois. NPI 1033825419 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · JOLIET, IL
Registration Details
- NPI Number
- 1033825419
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2023 (3.5784138118118 yrs)
- Last Updated
- Jan 27, 2023
- Licenses
-
209.026405 (IL)041.360286 (IL)
Practice Information
- Address
-
2400 GLENWOOD AVE STE 210JOLIET, IL, 604355498Browse IL providers · Browse ZIP 60435
- Phone
- 6304738737
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
- Additional Specialty
- Registered Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.