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NPI Code Detail

MEDICARE: JACE LYAM STEPHENS APRN

MEDICARE:   JACE LYAM STEPHENS  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner16073TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144502337
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACE LYAM STEPHENS APRN
Provider Business Mailing Address
First Line : 615 MAIN ST STE 127
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3603
Country : US
Telephone Number : 615-757-9577
Fax Number : 615-757-9578
Provider Business Practice Location Address
First Line : 615 MAIN ST STE 127
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3603
Country : US
Telephone Number : 615-757-9577
Fax Number : 615-757-9578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2011
Last Update Date : 02/28/2024

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Directions to “ JACE LYAM STEPHENS APRN” Practice Location

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