Individual provider · Type 1 NPI

Melissa J. Long, APN-CNP

Nurse Practitioner · Long Grove, IL

NPI number 1649619768 Active

Practice location

3880 Salem Lake Dr, F
Long Grove, IL 60047-5292

Call (847) 719-2220 Map

Fax (847) 719-2265

Mailing address

22285 N Pepper Rd Ste 401
Lake Barrington, IL 60010-2542

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	209010475 (IL)
Family Nurse Practitioner	363LF0000X	209010475 (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…

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About NPI 1649619768

Melissa J. Long, APN-CNP's National Provider Identifier is 1649619768, issued on Jun 21, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Long Grove, IL. The record was last updated on Apr 10, 2026.