Individual provider · Type 1 NPI

Evelyn Lake-Harris, APN

Nurse Practitioner · Jackson, TN

NPI number 1083732762 Active

Practice location

238 Summar Dr
Jackson, TN 38301-3906

Fax (731) 935-8327

Mailing address

PO Box 10414, C O Paradigm Health
Largo, FL 33773-0414

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN6691 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083732762

Evelyn Lake-Harris, APN's National Provider Identifier is 1083732762, issued on Mar 27, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, TN. The record was last updated on Jan 15, 2018.