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LISA JO SUWANAWONGSE FNP-BC
NPI 1629546411
Nurse Practitioner - Family in Harrisburg, IL

Active since November 09, 2018
100 DR WARREN TUTTLE DR, HARRISBURG, IL 62946(618) 253-7671(618) 253-0474 Get Directions Write a Review

NPPES record last updated: November 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Jo Suwanawongse Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA JO SUWANAWONGSE FNP-BC (NPI 1629546411) is an individual family provider in Harrisburg, Illinois, licensed in Illinois (209016422) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1629546411
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA JO SUWANAWONGSECredential: FNP-BC
Location Address100 DR WARREN TUTTLE DRHarrisburg, IL 62946-2718
Mailing AddressPo Box 428Harrisburg, IL 62946-0428 · (618) 253-7671 · Fax (618) 253-0474
Phone(618) 253-7671
Fax(618) 253-0474
Sole ProprietorNo
Enumeration DateNovember 9, 2018
✔ NPI 1629546411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209016422
100 DR WARREN TUTTLE DR, Harrisburg, IL 62946
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATERA HEALTH CARE, LLC
Emergency Medicine
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
Saline County (618) 833-1691
THOMAS BUCINSKI MD
Emergency Medicine
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
Saline County (618) 253-7671
HARRISBURG MEDICAL CENTER INC
General Acute Care Hospital
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
Saline County (618) 253-7671
HARRISBURG MEDICAL CENTER INC
Psychiatric Unit
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
Saline County (618) 253-7671
HARRISBURG MEDICAL CENTER INC
Medicare Defined Swing Bed Unit
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
Saline County (618) 253-7671
ASHLEY HERRMANN
Occupational Therapist
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
Saline County (618) 253-7671
TIMOTHY E MORTHLAND M.D.
Family Medicine
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
Saline County (618) 253-7671
MS. MARY DARLENE SMITH
Dietitian, Registered
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
Saline County (618) 253-7671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Suwanawongse's NPI number?

The NPI number for Lisa Suwanawongse is 1629546411. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Lisa Suwanawongse located?

Lisa Suwanawongse practices at 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946. The listed phone number is (618) 253-7671.

What is Lisa Suwanawongse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Suwanawongse was last updated on November 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.