Provider Demographics
NPI:1427045897
Name:PACE, TAMERA MORRIS (NP)
Entity Type:Individual
Prefix:
First Name:TAMERA
Middle Name:MORRIS
Last Name:PACE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 23RD AVE N
Mailing Address - Street 2:SUITE 330
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1522
Mailing Address - Country:US
Mailing Address - Phone:615-342-6800
Mailing Address - Fax:615-342-6810
Practice Address - Street 1:330 23RD AVE N
Practice Address - Street 2:SUITE 330
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1522
Practice Address - Country:US
Practice Address - Phone:615-342-6800
Practice Address - Fax:615-342-6810
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6543363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN34999991Medicare PIN
TNQ25754Medicare UPIN