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Jerice Lake
Pediatric Nurse Practitioner in Mesa, Arizona
NPI 1154878072

Jerice Lake is a Pediatric Nurse Practitioner based in Chandler, AZ and is specialized in Pediatrics. Jerice Lake practices in Mesa, AZ. The NPI Number for Jerice Lake is 1154878072 and holds a License No. RN198973 (Arizona).

The current practice location address for Jerice Lake is 2343 W Main St, Mesa, AZ and can be reached out via phone at 340-642-4597.

Location: 2343 W Main St, Mesa, AZ, 85224-3207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154878072
Provider Name
Jerice Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
2343 W Main St, Mesa, AZ, 85224-3207
Phone Number
340-642-4597
Fax Number
Provider Enumeration Date
09/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2343 W Main St
City
Mesa
State
Arizona
Zip
85201-9003
Phone Number
340-642-4597
Fax Number
person
Provider Business Mailing Address Details
Address
2343 W Main St
City
Mesa
State
Arizona
Zip
85201-9003
Phone Number
340-642-4597
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
264646 (Arizona)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN198973 (Arizona)
Definition
Definition to come...
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