Individual
MS. MELISSA A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1 W LINCOLN ST, WAUPUN, WI 53963-1949
(920) 324-6290
Mailing address
1 W LINCOLN ST, WAUPUN, WI 53963-1949
(920) 324-6290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3301
WI
Other
Enumeration date
01/22/2008
Last updated
07/21/2022
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