Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LAKE
ActiveJESSICA LAKE is a Social Worker healthcare provider located in WHITEVILLE, Tennessee. NPI 1043902463 is currently active in the NPPES registry. Verify at CMS.
Social Worker · WHITEVILLE, TN
Registration Details
- NPI Number
- 1043902463
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2023 (3.2368211066504 yrs)
- Last Updated
- May 24, 2023
Practice Information
- Address
-
533 BOYD STWHITEVILLE, TN, 380754701Browse TN providers · Browse ZIP 38075
- Phone
- 7316093086
- Primary Specialty
-
Social Worker
104100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.