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

Lisa Jo Suwanawongse, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1629546411

Lisa Jo Suwanawongse, FNP-BC is a Family Nurse Practitioner in Harrisburg, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone: (618) 253-7671
Fax: (618) 253-0474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209016422 (IL)

Record details

NPI number1629546411
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 9, 2018
Last updated in NPPESNovember 9, 2018

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