Pace, Diane

Pace, Diane is an individual health care provider with primary practice located at 877 Jefferson Ave 5Th Floor Adams Pavilion, Memphis TN 38103-2807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pace, Diane can be contacted via phone (901) 272-0387.

Contact Information

Primary practice address
877 Jefferson Ave 5Th Floor Adams Pavilion Memphis TN 38103-2807
Phone: (901) 272-0387
Fax: (901) 272-0292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5144 Tennessee

Profile Details

NPI number 1518953553
LBN Legal business name Pace, Diane
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518953553 NPPES
Tennessee MEDICAID 3903395

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