Mork, Melissa Jean

Mork, Melissa Jean is an individual health care provider with primary practice located at 4328 Old Green Bay Road , Mount Pleasant WI 53403. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mork, Melissa Jean can be contacted via phone (262) 687-7606.

Contact Information

Primary practice address
4328 Old Green Bay Road Mount Pleasant WI 53403
Phone: (262) 687-7606
Fax: (262) 687-7615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X APNWI9114-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 717304 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012202 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9114-33 Wisconsin

Profile Details

NPI number 1407162092
LBN Legal business name Mork, Melissa Jean
Credentials APNP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Jun 2nd, 2021 - about 5 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1407162092 NPPES
Wisconsin MEDICAID 9114-33

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