Individual
MS. AMY JO KASSIRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
4 POST OFFICE SQ, TAUNTON, MA 02780-3207
(508) 823-5291
Mailing address
21 HAROLD STREET, ATTLEBORO, MA 02703
(508) 243-6571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2640
RI
363L00000X
Nurse Practitioner
Primary
RN233244
MA
363LW0102X
Women's Health Nurse Practitioner
233244
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110019543A
—
MA
01
—
23440-3
BCBS RI
RI
01
—
NP2640
BCBS MA
MA
Enumeration date
04/17/2006
Last updated
03/14/2017
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