Individual
MS. MELISSA JUSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2361219
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2361219
MA
Other
Enumeration date
03/12/2025
Last updated
11/25/2025
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