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Search › Michigan › Psychiatric/Mental Health Nurse Practitioner

Jennifer Lake, PMHNP

NPI 1285073924 · on the registry since 2013

Practice

Address
1346 Baldwin St
Jenison, MI 49428
Phone
(616) 765-8585
Organisation at this address
Tahoma Enterprises Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 2730 5 Mile Rd Ne Ste 101, Grand Rapids, MI
  • 3300 36th St Se, Grand Rapids, MI

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-09

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 Michigan