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1043509284 NPI number — MELISSA LYNN JILOT APNP

NPI Number: 1043509284
Health Care Provider/Practitioner: MELISSA LYNN JILOT APNP

Information about “1043509284” NPI (MELISSA LYNN JILOT APNP) exists in 1043509284 in HTML format HTML  |  1043509284 in plain Text format TXT  |  1043509284 in PDF (Portable Document Format) PDF  |  1043509284 in an XML format XML  formats.

NPI Number : 1043509284 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043509284",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JILOT",
    "FirstName": "MELISSA",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MINERATH",
    "OtherFirstName": "MELISSA",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "323 S 18TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STURGEON BAY",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54235-1401",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-743-5566",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2345 CANTERBURY LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SISTER BAY",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54234-5602",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-868-3511",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/28/2011",
    "LastUpdateDate": "05/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "4422-33",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "4422-33",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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