Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Bane

Individual provider Family Nurse Practitioner · NPI 1871983452

Jaclyn Bane is a Nurse Practitioner in Jackson, Tennessee. Graduated from University of South Alabama College of Medicine in 2014, 12 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Trained at
University of South Alabama College of Medicine
Licensed in
TN
In the registry since
2015
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Practice location Address checks out

655 Lexington Ave
Jackson, TN 38301-5075
Phone: (731) 540-0330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19616 (TN)

Record details

NPI number1871983452
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2015
Last updated in NPPESJanuary 26, 2025
Certification dateJanuary 26, 2025
Mailing address655 Lexington Ave, Jackson, TN 38301-5075

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson