Christine Lillard

Nurse Practitioner, Family in Fort Myers, FL. Individual provider (NPI-1).

NPI number1013594548

StatusActive

Last updated in NPPESAug 26, 2024

Details

NPI: 1013594548
Entity type: Individual (NPI-1)
Name: Christine Lillard
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 29, 2021
Certification date: Aug 26, 2024
Last updated: Aug 26, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	APRN11033915	FL	Yes
163W00000X	Registered Nurse	RN9438955	FL

Practice location

13782 Plantation Rd Ste 201
Fort Myers, FL 33912-4462

Phone 239-849-8780

Mailing address

12109 Palm Cove St
Fort Myers, FL 33913-8724

Is something wrong?

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Other Family Nurse Practitioner providers in Fort Myers, FL

All 455 Family Nurse Practitioner providers in Fort Myers · All 10,624 providers in Fort Myers

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