Individual
JAMIE PACHECO
Active
Individual
JAMIE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
13317348-4402
UT
367A00000X
Advanced Practice Midwife
Primary
39780
TN
367A00000X
Advanced Practice Midwife
6561672
ID
367A00000X
Advanced Practice Midwife
CM000113
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q107009
—
TN
Enumeration date
09/23/2014
Last updated
11/18/2025
Update your record
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