Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA KRISTYNE WISSLEAD
Active Sole ProprietorMELISSA KRISTYNE WISSLEAD is a Nurse Practitioner healthcare provider located in COLCHESTER, Illinois. NPI 1124470091 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · COLCHESTER, IL
Registration Details
- NPI Number
- 1124470091
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2016 (10.137031780147 yrs)
- Last Updated
- Jan 31, 2022
- Licenses
-
041385294 (IL)209014400 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 E MARKET STCOLCHESTER, IL, 623261271Browse IL providers · Browse ZIP 62326
- Phone
- 3197763301
- Fax
- 3097763370
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.