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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CATHERINE DETTELBACH LAKE, FNP-C

Active

CATHERINE DETTELBACH LAKE, FNP-C is a Nurse Practitioner healthcare provider located in JACKSONVILLE, Florida. NPI 1265039424 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · JACKSONVILLE, FL

Registration Details

NPI Number
1265039424
Provider Type
Individual
Gender
Female
NPI Issued
Oct 1, 2020 (5.8711627813249 yrs)
Last Updated
Jan 21, 2025
Licenses
APRN11006998 (FL)
APRN11006998 (FL)
APRN11006998 (FL)
APRN11006998 (FL)

Practice Information

Address
915 W MONROE ST STE 200
JACKSONVILLE, FL, 322041177
Browse FL providers · Browse ZIP 32204
Phone
9043842240
Fax
9044862314
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Nurse Practitioner Providers in JACKSONVILLE, FL

Name Credential NPI
MRS. DAWN MICHELLE SAWYER ARNP 1639161466
ROBERT C SANFORD ARNP 1063407880
HEATHER ZAMUZ ARNP 1851388359
MS. VALERIE ARMSTRONG ARNP 1407847593
MS. KATHLEEN CAROL ARNTSON-MORGAN ARNP 1225029317
SHELLY BROCK ARNP 1861483950
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.