Pace, Stacie
Pace, Stacie is an sole proprietor health care provider with primary practice located at 709 Hardy St , Hattiesburg MS 39401-3666. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pace, Stacie can be contacted via phone (601) 466-9495.Contact Information
Primary practice address
709 Hardy St
Hattiesburg MS 39401-3666
Phone: (601) 466-9495
Fax: (601) 469-9965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | C-APN.0100762-C-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RNP232597 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 879432 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 879432 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 879432 | Mississippi |
Profile Details
| NPI number | 1528480035 |
|---|---|
| LBN Legal business name | Pace, Stacie |
| Credentials | AGACNP, AGPCNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2014 |
| Last updated | Nov 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528480035 | NPPES |
| Mississippi | MEDICAID | 05656575 |
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