Search › Michigan › 163W00000X

Jessica Lake, RN

NPI 1447164298 · on the registry since 2026 · sole proprietor

Practice

Address
3400 10th St Lot 27
Menominee, MI 49858
Phone
(906) 235-1830

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-29

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