Provider Demographics
NPI:1972066553
Name:MCBRIDE, CADY PACE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CADY
Middle Name:PACE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10793 HIGHWAY 493
Mailing Address - Street 2:
Mailing Address - City:BAILEY
Mailing Address - State:MS
Mailing Address - Zip Code:39320-9789
Mailing Address - Country:US
Mailing Address - Phone:601-616-9437
Mailing Address - Fax:
Practice Address - Street 1:5224 VALLY ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39307-6271
Practice Address - Country:US
Practice Address - Phone:601-693-2451
Practice Address - Fax:601-484-5013
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS897429363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily