Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jillian Lisiakowski, APRN

Individual provider Family Nurse Practitioner · NPI 1609475151

Jillian Lisiakowski, APRN is a Nurse Practitioner in Orange City, Florida. Qualified in 2022, 4 years ago. Practices with Florida Cancer Specialists and Research Institute, LLC, a 460-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2824 Enterprise Rd
Orange City, FL 32763-8428
Phone: (386) 774-7411
Fax: (386) 774-7412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6060 Lakeside Commons Dr, Macon, GA 31210-5778 — (478) 745-9204
  • 169 Madison Ave Ste 2817, New York, NY 10016-5101 — (888) 553-2823

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11030648 (FL)

Record details

NPI number1609475151
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedOctober 25, 2020
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing addressPo Box 102222, Atlanta, GA 30368-2222

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Florida Cancer Specialists And Research Institute, Llc — 460 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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