Healthcare Provider Details

I. General information

NPI: 1366313835
Provider Name (Legal Business Name): MELANIE JO HAMPTON DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 SAINT CLAIR AVE
GROSSE POINTE MI
48230-1243
US

IV. Provider business mailing address

699 SAINT CLAIR AVE
GROSSE POINTE MI
48230-1243
US

V. Phone/Fax

Practice location:
  • Phone: 734-635-9562
  • Fax:
Mailing address:
  • Phone: 734-635-9562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704388608
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: