Most Relevant Information
Provider Data
| NPI Number: | 1003232489 |
| Provider Name: | MELISSA G KULP MS, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209.011300 |
Most Important Dates
| Enumeration Date: | 03/10/2014 |
| Last Updated: | 04/08/2022 |
Provider Practice Location
220 E COUNTY RD
E ANNEX
JERSEYVILLE
IL
620523125
Practice Location Phone/Fax
| Phone: | 6184988467 |
| Fax: | 6186392017 |
Provider Mailing Location
390 MAPLE SUMMIT RD
JERSEYVILLE
IL
620522000
Provider Mailing Phone/Fax
| Phone: | 6184988467 |
| Fax: | 6186392017 |