Individual
JACE LYAM STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
615 MAIN ST STE 127, NASHVILLE, TN 37206-3603
(615) 757-9577
(615) 757-9578
Mailing address
615 MAIN ST STE 127, NASHVILLE, TN 37206-3603
(615) 757-9577
(615) 757-9578
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
16073
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526032
—
TN
Enumeration date
09/13/2011
Last updated
02/28/2024
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