Jennifer Marie Lake is a Grand Rapids, Michigan based nurse practitioner. Active license number of Jennifer Marie Lake is 4704248401 for Psych/Mental Health in Michigan. Her current practice location is 1550 E Beltline Ave Se Ste 155, Grand Rapids. Patients can reach her at 616-466-2924. Jennifer Marie Lake is PMHNP and her NPI number (Unique professional ID assigned by NPPES) is 1285073924. Jennifer Marie Lake has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jennifer Marie 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:
Jennifer Marie Lake
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
PMHNP
Practice Address:
1550 E Beltline Ave Se Ste 155, Grand Rapids, Michigan, 49506-4362
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.
NPI Number:
1285073924
NPI Enumeration Date:
16 Jun, 2013
NPI Last Update On:
03 Sep, 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 Jennifer Marie Lake are as mentioned below.
License Number
Specialization
State
Status
4704248401
Psych/Mental Health
Michigan
Primary
4704248401
Registered Nurse
Michigan
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jennifer Marie Lake 5638 Linedrive Ct Ne, Comstock Park, Michigan
Zip:
49321-9626
Phone Number:
616-540-1930
Patients can reach Jennifer Marie Lake at 1550 E Beltline Ave Se Ste 155, Grand Rapids, Michigan or can call to book an appointment on 616-466-2924.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.