Search › Kentucky › 363L00000X
Jodi Pace, AGNP-BC
NPI 1063860575 · on the registry since 2016
Practice
- Address
- 4604 Lowe Rd
Louisville, KY 40220 - Phone
- (502) 451-1401
- Organisation at this address
- Pine Tree Villa, Llc
Louisville Ky Opco LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 3001 Douglas Blvd Ste 325, Roseville, CA
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2200X
- Licence states on file
- CA, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky