Individual
MS. MECHELLE JEAN PLASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CS, NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
176838
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
176838
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176838
TUFTS HEALTH PLAN NUMBER
MA
05
—
1854984
—
MA
01
—
PN0618
BLUE CROSS
MA
Enumeration date
01/14/2007
Last updated
02/11/2016
Update your record
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