Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jennifer Marie Lake, PMHNP

Individual provider Registered Nurse · NPI 1285073924

Jennifer Marie Lake, PMHNP is a Registered Nurse in Jenison, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1346 Baldwin St
Jenison, MI 49428-8937
Phone: (616) 765-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3300 36th St Se, Grand Rapids, MI 49512-2810 — (616) 942-2110
  • 2730 5 Mile Rd Ne Ste 101, Grand Rapids, MI 49525-6518 — (616) 426-9401

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704248401 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704248401 (MI)

Record details

NPI number1285073924
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 16, 2013
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026

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