Individual
MELISSA B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10589
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
10589
WI
Other
Enumeration date
11/30/2020
Last updated
11/16/2022
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