MRS. Lisa Marie Fernandes, LPN
NPI #1265206692 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1265206692
- Entity Type
- Individual
- Name
- MRS. Lisa Marie Fernandes, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Nov 7, 2023
- Last Updated
- Nov 7, 2023
Practice Location
- Address
- 1429 S. MAIN ST. DHS/DRS/HSD
- Address 2
- SUITE C
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650
- Phone
- (217) 245-9585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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