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Lisa Ellingwood, APRN, PMHNP-BC

NPI 1083255343 · on the registry since 2019 · sole proprietor

Practice

Address: 1802 S Mattis Ave
Champaign, IL 61821
Phone: (217) 365-2855
Fax: (217) 365-2856
Organisation at this address: Carle Clinic Association, Pc
The Care Foundation Hospital
Carle Health Care Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 74

Registry record

Primary taxonomy: Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as: 163W00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois