Johnson, Melissa Kay

Johnson, Melissa Kay is an individual health care provider with primary practice located at 5409 N Knoxville Ave , Peoria IL 61614-5069. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Melissa Kay can be contacted via phone (309) 691-1069.

Contact Information

Primary practice address
5409 N Knoxville Ave Peoria IL 61614-5069
Phone: (309) 691-1069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A130336 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F1216074 Illinois

Profile Details

NPI number 1942744495
LBN Legal business name Johnson, Melissa Kay
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2016
Last updated Oct 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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