Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA JO SUWANAWONGSE, FNP-BC
ActiveLISA JO SUWANAWONGSE, FNP-BC is a Family Nurse Practitioner healthcare provider located in HARRISBURG, Illinois. NPI 1629546411 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · HARRISBURG, IL
Registration Details
- NPI Number
- 1629546411
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2018 (7.7535575931524 yrs)
- Last Updated
- Nov 9, 2018
- License
-
209016422 (IL)
Practice Information
- Address
-
100 DR WARREN TUTTLE DRHARRISBURG, IL, 629462718Browse IL providers · Browse ZIP 62946
- Phone
- 6182537671
- Fax
- 6182530474
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in HARRISBURG, IL
| Name | Credential | NPI |
|---|---|---|
| BRITTNI ROLDAN | NURSE PRACTITIONER | 1770975393 |
| MRS. AMANDA JO BROWN | NP | 1891209912 |
| MR. EDWARD CARL BURTIS | FNP-C | 1528602034 |
| CONSTANCE M HENSHAW | FNP-C | 1760081483 |
| MORGAN WALKER | — | 1447843172 |
| NICHOLE LYNN STUBBS | — | 1215800065 |
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.