Individual provider · Type 1 NPI
Melissa Kristyne Wisslead
Nurse Practitioner · Colchester, IL
Practice location
110 E Market St
Colchester, IL 62326-1271
Fax (309) 776-3370
Mailing address
PO Box 160
Carthage, IL 62321-0160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041385294 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209014400 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
About NPI 1124470091
Melissa Kristyne Wisslead's National Provider Identifier is 1124470091, issued on Jul 5, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Colchester, IL. The record was last updated on Jan 31, 2022.