Provider Demographics
NPI:1386301828
Name:HESS, MELISSA L (CPM)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:L
Last Name:HESS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-2928
Mailing Address - Country:US
Mailing Address - Phone:217-497-8075
Mailing Address - Fax:
Practice Address - Street 1:1119 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-2928
Practice Address - Country:US
Practice Address - Phone:217-497-8075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE