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

Denise Lack, NP

Individual provider Nurse Practitioner · NPI 1104839414

Denise Lack, NP is a Nurse Practitioner in Jackson, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

100 Mission Blvd Ste 2600
Jackson, CA 95642-2536
Phone: (209) 257-1722
Fax: (209) 257-1726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN392072 (CA)

Record details

NPI number1104839414
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESJuly 10, 2015

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