JILLIAN LISIAKOWSKI APRN NPI 1609475151

NPI Information

  • NPI: 1609475151
  • Provider Name: JILLIAN LISIAKOWSKI, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2824 ENTERPRISE RD
    ORANGE CITY, FL
    ZIP 32763
  • Phone: (386) 774-7411

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NPI Details

Jillian Lisiakowski, APRN is a family nurse practitioner in Orange City, FL with 4 years of experience. Jillian Lisiakowski, APRN NPI is 1609475151. 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:

2824 ENTERPRISE RD
ORANGE CITY, FL
ZIP 32763-428
Phone: (386) 774-7411
Fax: (386) 774-7412

The NPI 1609475151 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 10/25/2020 and was last updated on 7/16/2025.

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
1363LF0000XNurse PractitionerFamilyAPRN11030648FLORIDAYes

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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