Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Clinic at the Lake PLLC

Organization Rural Health Clinic/Center · NPI 1578125647

Family Clinic at the Lake PLLC is a Rural Health Clinic/Center in Counce, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11268 Highway 57
Counce, TN 38326-3802
Phone: (731) 689-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1578125647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellanikole Jackson — Owner · (731) 689-4357
NPI enumeratedJune 28, 2019
Last updated in NPPESOctober 14, 2019
Mailing addressPo Box 140, Pickwick Dam, TN 38365-0140

Other providers in Counce