Healthcare Provider Details

I. General information

NPI: 1942116512
Provider Name (Legal Business Name): MELISSA G BARTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 W SIERRA AVE # 104
FRESNO CA
93711-2063
US

IV. Provider business mailing address

898 E SPRUCE AVE
FRESNO CA
93720-3228
US

V. Phone/Fax

Practice location:
  • Phone: 559-437-1111
  • Fax:
Mailing address:
  • Phone: 559-355-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95040741
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: