Anthony Lake is a Nurse Practitioner in Jackson, Tennessee. Anthony Lake practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Anthony Lake is 1548290166. The last update date is 2014-10-29.
Anthony Lake's current location address is 238 Summar Dr, Jackson, Tennessee. You can contact this provider via phone number 7319358200 and fax number 7319358327. The mailing address for Anthony Lake is 238 Summar Dr, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Lake |
|---|---|
| Address | 238 Summar Dr, Jackson, Tennessee |
| Phone Number | 7319358200 |
| Fax Number | 7319358327 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1548290166 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2014-10-29 |
Provider Mailing Address Detail
| Address | 238 Summar Dr |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 3830139060 |
| Phone Number | 7319358200 |
| Fax Number | 7319358327 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 6581 |
|
Definition: (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 certifi |
|
Post Comment/ Review Below
What is the Anthony Lake's unique identification number?
The Anthony Lake has been assigned the NPI (National Provider Identifier) Number 1548290166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Anthony Lake?
The Anthony Lake is situated at 238 Summar Dr, in the city of Jackson, state of TN, with the zip code 3830139060.
What is Anthony Lake's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Anthony Lake is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548290166 to Anthony Lake?
The Centers for Medicare & Medicaid Services originally issued the 1548290166 to Anthony Lake on 2006-07-03.
As of what date was the information pertaining to Anthony Lake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Anthony Lake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-10-29.