Provider Demographics
NPI:1851808018
Name:MONPLAISIR, PASCALE
Entity Type:Individual
Prefix:
First Name:PASCALE
Middle Name:
Last Name:MONPLAISIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PASCALE
Other - Middle Name:
Other - Last Name:MONPLAISIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SOLO PROVIDER
Mailing Address - Street 1:4320 NOTTER AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32206-6334
Mailing Address - Country:US
Mailing Address - Phone:585-576-0592
Mailing Address - Fax:
Practice Address - Street 1:4320 NOTTER AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-6334
Practice Address - Country:US
Practice Address - Phone:585-576-0592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide