LEE PACE FNP OTR NPI 1073811717

NPI Information

  • NPI: 1073811717
  • Provider Name: LEE PACE, FNP, OTR
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6051 U S HIGHWAY 49
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 288-7000

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NPI Details

Lee Pace, FNP, OTR is a family nurse practitioner in Hattiesburg, MS. Lee Pace, FNP, OTR NPI is 1073811717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6051 U S HIGHWAY 49
HATTIESBURG, MS
ZIP 39401-201
Phone: (601) 288-7000

The NPI 1073811717 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/4/2011 and was last updated on 3/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistOT1385MISSISSIPPINo
2363LF0000XNurse PractitionerFamilyR879013MISSISSIPPIYes
3363LF0000XNurse PractitionerFamilyAP5005ARIZONANo
4363LF0000XNurse PractitionerFamilyCNP-02475NEW MEXICONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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