Individual
JODI PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
4604 LOWE RD, LOUISVILLE, KY 40220-1514
(502) 451-1401
Mailing address
3417 ROYAL LAKE DR, FLOYDS KNOBS, IN 47119-9807
(713) 205-6669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3016301
KY
363LA2200X
Adult Health Nurse Practitioner
95004392
CA
Other
Enumeration date
05/25/2016
Last updated
06/24/2021
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