Individual
MS. MELISSA M ILG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1001 S EDGEWOOD DR, KNOX, IN 46534-8269
(574) 772-4040
Mailing address
1001 S EDGEWOOD DR, KNOX, IN 46534-8269
(574) 772-4040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71005407A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71005407A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000924950
BCBS LSC
IN
01
—
000000928256
BCBS SJHC
IN
01
—
000000928643
BCBS MCFP
IN
01
—
000000928877
BCBS PFIM
IN
05
—
201284330
—
IN
Enumeration date
05/24/2006
Last updated
11/25/2023
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