Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISSA J DIEFENDORF, APN
Active Sole ProprietorMRS. LISSA J DIEFENDORF, APN is a Adult Health Clinical Nurse Specialist healthcare provider located in PEORIA, Illinois. NPI 1427356336 is currently active in the NPPES registry. Verify at CMS.
Adult Health Clinical Nurse Specialist · PEORIA, IL
Registration Details
- NPI Number
- 1427356336
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2011 (15.442615412537 yrs)
- Last Updated
- Mar 2, 2011
- License
-
209008169 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
403 W CORRINGTON AVEPEORIA, IL, 616042803Browse IL providers · Browse ZIP 61604
- Phone
- 3092225736
- Primary Specialty
-
Adult Health Clinical Nurse Specialist
364SA2200X
Other Adult Health Clinical Nurse Specialist Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. ANDREA CATHERINE SCHOLL | APN | 1598926172 |
| MS. JENNIFER LYNN RUNYON | MSN, APN | 1972732246 |
| DAVID CLARK THORPE | APN | 1720315021 |
| CRYSTAL DAWN SLAUGHTER | APN | 1346579117 |
| JAILSON S NASCIMENTO | APRN, CNS | 1881912392 |
| HEATHER JEFFORD | DNP, APN | 1881906410 |
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.