Individual
STACIE PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP, AGPCNP
Contact information
Practice address
709 HARDY ST, HATTIESBURG, MS 39401-3666
(601) 466-9495
(601) 469-9965
Mailing address
2910 MAGNOLIA PL, HATTIESBURG, MS 39402-2428
(601) 466-9495
(601) 466-9495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
879432
MS
363L00000X
Nurse Practitioner
C-APN.0100762-C-NP
CO
363L00000X
Nurse Practitioner
RNP232597
AZ
363LA2100X
Acute Care Nurse Practitioner
879432
MS
363LG0600X
Gerontology Nurse Practitioner
879432
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05656575
—
MS
Enumeration date
01/17/2014
Last updated
11/07/2023
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