Provider Demographics
NPI:1457766735
Name:THOMPSON, MELISSA M (APRN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1106 N SHORE DR
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-2542
Mailing Address - Country:US
Mailing Address - Phone:402-214-8159
Mailing Address - Fax:402-279-1091
Practice Address - Street 1:2205 OSBORNE DR E
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-2633
Practice Address - Country:US
Practice Address - Phone:402-462-2066
Practice Address - Fax:402-462-2045
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE111663363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily