Healthcare Provider Details

I. General information

NPI: 1780610170
Provider Name (Legal Business Name): PAMELA J PLUCINSKI PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA MCCORD RN

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 DIVISION RD STE 301
WEST WARWICK RI
02893-7558
US

IV. Provider business mailing address

1075 SMITH ST STE 2
PROVIDENCE RI
02908-2700
US

V. Phone/Fax

Practice location:
  • Phone: 401-369-9224
  • Fax: 401-369-9275
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License NumberPPNS00068
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR236222
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN04750
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: