Individual
MELISSA LYNN HUDSPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1860 SHAWANO AVE, GREEN BAY, WI 54303-2667
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16565-33
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100310059
—
WI
Enumeration date
09/29/2021
Last updated
07/10/2025
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