SearchTennessee104100000X

Jessica Lake

NPI 1043902463 · on the registry since 2023

Practice

Address
533 Boyd St
Whiteville, TN 38075
Phone
(731) 609-3086

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Female
Record last updated
2023-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee