Healthcare Provider Details

I. General information

NPI: 1699148619
Provider Name (Legal Business Name): KIMBERLY K. PACE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2015
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 DICKERSON PIKE STE 680
NASHVILLE TN
37207-2537
US

IV. Provider business mailing address

3443 DICKERSON PIKE STE 680
NASHVILLE TN
37207-2537
US

V. Phone/Fax

Practice location:
  • Phone: 931-703-3104
  • Fax:
Mailing address:
  • Phone: 615-865-3322
  • Fax: 615-467-6692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20828
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number20828
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF1015752
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: