Individual provider · Type 1 NPI

Jennifer Lake, NP

Nurse Practitioner · Terre Haute, IN

NPI number 1922461441 Active

Practice location

3500 Maple Ave
Terre Haute, IN 47804-1732

Fax (812) 238-2514

Mailing address

12201 Bluegrass Pkwy
Louisville, KY 40299-2361

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71006171A (IN)

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 1922461441

Jennifer Lake, NP's National Provider Identifier is 1922461441, issued on Apr 1, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Terre Haute, IN. The record was last updated on May 2, 2017.