IndividualActive
Lisa Pierce, CPNP-AC
NPI 1073842878 · Critical Care Pediatric Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1073842878
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- 209.007927 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
530 Ne Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2600
Approximate (ZIP-level) locationGet directions
Mailing address
112 N 6th St
Dunlap, IL 61525-8004
Registry dates
- Enumerated
- 2009-12-08
- Last updated
- 2009-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.