MS. Lisa Annette Ellingwood, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Champaign, IL with 5 years of experience. MS. Lisa Annette Ellingwood, APRN, PMHNP-BC NPI is 1083255343. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1802 S MATTIS AVE
CHAMPAIGN, IL
ZIP 61821-923
Phone: (217) 365-2855
Fax: (217) 365-2856
The NPI 1083255343 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/7/2019 and was last updated on 4/22/2024.