Individual provider · Type 1 NPI

Melissa Lynn Hudspeth, NP-C

Nurse Practitioner · Green Bay, WI

NPI number 1790457778 Active

Practice location

1860 Shawano Ave
Green Bay, WI 54303-2667

Call (920) 496-4700 Map

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X16565-33 (MA)

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 1790457778

Melissa Lynn Hudspeth, NP-C's National Provider Identifier is 1790457778, issued on Sep 29, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 10, 2025.