Search › Mississippi › 363L00000X
Stacie Pace, AGACNP, AGPCNP
NPI 1528480035 · on the registry since 2014 · sole proprietor
Practice
- Address
- 709 Hardy St
Hattiesburg, MS 39401 - Phone
- (601) 466-9495
- Fax
- (601) 469-9965
- Organisation at this address
- Spectrum The Other Clinic
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 270 Trace Colony Park Dr Ste B, Ridgeland, MS
- 1846 E Innovation Drive, Oro Valley, AZ
- 7120 E Orchard Rd Ste 307, Centennial, CO
- 602 Adeline St Ste C4, Hattiesburg, MS
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
363L00000X
363LA2100X
363LG0600X - Licence states on file
- CO, AZ, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-07
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 Mississippi