Individual provider · Type 1 NPI

Virginia Lake

Nurse Practitioner · Dalton, GA

NPI number 1720738867 Active

Practice location

812 Thornton Pl
Dalton, GA 30720-5228

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X225227 (GA)
Nurse Practitioner Primary 363L00000X225227 (GA)

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 1720738867

Virginia Lake's National Provider Identifier is 1720738867, issued on Mar 23, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dalton, GA. The record was last updated on Mar 23, 2022.