Shirlisa Love, is a
Nurse Practitioner - Psychiatric/mental Health based in Menard, Illinois. Shirlisa Love is licensed to practice in Illinois (license number 209029158) and her current practice location is
Menard Correctional Center, 711 E Kaskaskia St., Menard, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 826-5071.
NPI number for Shirlisa Love is 1104691815 and her current mailing address is 112 Meadowcrest Dr, Belleville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104691815.
Provider's Profile
Full Name | Shirlisa Love |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | Menard Correctional Center, Menard, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104691815
- Provider Enumeration Date: 11/22/2023
- Last Update Date: 01/08/2024
Medical Identifiers
Medical identifiers for Shirlisa Love such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104691815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023046705 (Missouri) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209029158 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shirlisa Love is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shirlisa Love, 112 Meadowcrest Dr, Belleville, IL 62221-6749 Ph: (161) 855-0502 | Shirlisa Love, Menard Correctional Center, 711 E Kaskaskia St., Menard, IL 62259 Ph: (618) 826-5071 |
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