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MS. MELISSA LOUISE WILSON FAMILY NURSE PRACTIT
NPI 1700873528
Nurse Practitioner - Family in Brookings, OR

Active since October 06, 2005
524 SPRUCE STREET UNIT 3, BROOKINGS, OR 97415(541) 412-3726(541) 412-3729 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Melissa Louise Wilson Family Nurse Practit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MELISSA LOUISE WILSON FAMILY NURSE PRACTIT (NPI 1700873528) is an individual family provider in Brookings, Oregon, licensed in Oregon (201350121NP) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1700873528
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MELISSA LOUISE WILSONCredential: FAMILY NURSE PRACTIT
Location Address524 SPRUCE STREET UNIT 3Brookings, OR 97415
Mailing Address15438 Southwind LaneBrookings, OR 97415 · (541) 412-3726 · Fax (541) 412-3729
Phone(541) 412-3726
Fax(541) 412-3729
Sole ProprietorYes
Enumeration DateOctober 6, 2005
Last NPPES UpdateJune 16, 2016
✔ NPI 1700873528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 201350121NP✔ Licensed in ID · N32717
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License N32717 (ID)
524 SPRUCE STREET UNIT 3, Brookings, OR 97415
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Other Identifiers 3

Medicaid9639428WA
Medicaid806760300ID
Medicare UPINP48049

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Wilson's NPI number?

The NPI number for Melissa Wilson is 1700873528. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Melissa Wilson located?

Melissa Wilson practices at 524 Spruce Street Unit 3, Brookings, OR 97415. The listed phone number is (541) 412-3726.

What is Melissa Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Melissa Wilson was last updated on June 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.