Provider Demographics
NPI:1023898855
Name:HALSEY, MELISSA ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:HALSEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 KELSEY CT
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:CA
Mailing Address - Zip Code:93221-2312
Mailing Address - Country:US
Mailing Address - Phone:559-741-5824
Mailing Address - Fax:
Practice Address - Street 1:229 W CHERRY AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3401
Practice Address - Country:US
Practice Address - Phone:559-789-0277
Practice Address - Fax:559-789-0147
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95026566363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily