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Individual

MELISSA LYNN JILOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2345 CANTERBURY LN, SISTER BAY, WI 54234-5602
(920) 868-3511
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4422-33
WI
363LF0000X
Family Nurse Practitioner
4422-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100016180
WI
01
163280
WI LICENSE
WI
01
F0211275
AMERICAN ACADEMY OF NURSE PRACTITIONERS
Enumeration date
03/28/2011
Last updated
05/06/2025
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