SearchIllinoisPsychiatric/Mental Health Nurse Practitioner

Tara Livingston, FPA APRN

NPI 1417509407 · on the registry since 2019

Practice

Address
5901 N Prospect Rd Ste 202
Peoria, IL 61614
Phone
(888) 428-7890
Fax
(877) 428-7891
Organisation at this address
John P Gysin Od
Matt Domico Lcsw Llc
Camelot Care Centers, Inc
Three Paths Massage Therapy
Natural Balance Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Additional practice sites

  • 3315 N Seminary St, Galesburg, IL

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Psychiatric/Mental Health Nurse Practitioner
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois