SHIRLISA LOVE NPI 1104691815

NPI Information

  • NPI: 1104691815
  • Provider Name: SHIRLISA LOVE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: MENARD CORRECTIONAL CENTER
    711 E KASKASKIA ST.
    MENARD, IL
    ZIP 62259
  • Phone: (618) 826-5071

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NPI Details

Shirlisa Love is a psychiatric/mental health nurse practitioner in Menard, IL with 3 years of experience. Shirlisa Love NPI is 1104691815. 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:

MENARD CORRECTIONAL CENTER
711 E KASKASKIA ST.
MENARD, IL
ZIP 62259
Phone: (618) 826-5071

The NPI 1104691815 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 11/22/2023 and was last updated on 1/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health2023046705MISSOURINo
2363LP0808XNurse PractitionerPsychiatric/Mental Health209029158ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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