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

Jessica Lake

Individual provider Social Worker · NPI 1043902463

Jessica Lake is a Social Worker in Whiteville, Tennessee. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

533 Boyd St
Whiteville, TN 38075-4701
Phone: (731) 609-3086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1043902463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023