Catherine Dettelbach Lake
FNP-C | Nurse Practitioner - Primary Care | 5+ years Exp
915 W Monroe St Ste 200, Jacksonville
Florida, 32204-1177
904-384-2240
Catherine Dettelbach Lake is a Jacksonville, Florida based nurse practitioner with 5 years of experience in Primary Care. She completed her graduation in 2020. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Catherine Dettelbach Lake is APRN11006998 in Florida. Her current practice location is 915 W Monroe St Ste 200, Jacksonville. Patients can reach her at 904-384-2240 or can fax her at 904-486-2314. Catherine Dettelbach Lake is FNP-C with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1265039424.
Catherine Dettelbach Lake is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Catherine Dettelbach Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Catherine Dettelbach Lake |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | FNP-C |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 915 W Monroe St Ste 200, Jacksonville,
Florida, 32204-1177 |
| Phone: | 904-384-2240 |
| Fax: | 904-486-2314 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9436564358 |
| Enrollment ID: | I20210226000169 |
| NPI Number: | 1265039424 |
| NPI Enumeration Date: | 01 Oct, 2020 |
| NPI Last Update On: | 21 Jan, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Catherine Dettelbach Lake are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11006998 | | Florida | Primary | |
| APRN11006998 | Primary Care | Florida | Secondary | |
| APRN11006998 | Adult Health | Florida | Secondary | |
| APRN11006998 | Family | Florida | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (100226) | Orange park, FL | Acute Care Hospital |
| (100321) | Middleburg, FL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Catherine Dettelbach Lake is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Northeast Florida Endocrine And Diabetes Associates Pa (7214823640) | 69 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Catherine Dettelbach Lake
915 W Monroe St Ste 200,
Jacksonville, Florida |
| Zip: | 32204-1177 |
| Phone Number: | 904-384-2240 |
| Fax Number: | 904-486-2314 |
Patients can reach Catherine Dettelbach Lake at
915 W Monroe St Ste 200, Jacksonville, Florida or can
call to book an appointment on 904-384-2240.
Comments/ Reviews:
Patients can read all the reviews posted for Catherine Dettelbach Lake below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Catherine Dettelbach Lake. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.