ALYSSA WISNEFSKY PNP NPI 1861236614

NPI Information

  • NPI: 1861236614
  • Provider Name: ALYSSA WISNEFSKY, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 3505 N BELL SCHOOL RD
    ROCKFORD, IL
    ZIP 61114
  • Phone: (779) 696-0300

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NPI Details

Alyssa Wisnefsky, PNP is a pediatrics nurse practitioner in Rockford, IL. Alyssa Wisnefsky, PNP NPI is 1861236614. 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:

3505 N BELL SCHOOL RD
ROCKFORD, IL
ZIP 61114-624
Phone: (779) 696-0300

The enumeration date for this NPI number is 6/25/2024 and was last updated on 6/25/2024.

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
1363LP0200XNurse PractitionerPediatrics209.029864ILLINOISYes

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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