Individual
JACKIE B PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
349 PENNY LN, CONCORD, NC 28025-1221
(704) 786-7158
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201582
NC
Other
Enumeration date
10/25/2006
Last updated
07/15/2024
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