Denise Lack, N.P.
Nurse Practitioner · Jackson, CA
Denise Lack, N.P. is a nurse practitioner with a practice address in Jackson, California, and NPI 1104839414, issued on Aug 15, 2006. Check the license (California RN392072, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Denise Lack
- Credential
- N.P.
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- RN392072 CA
Self-reported in NPPES; status is on the state search - Practice location
- 100 Mission Blvd, Jackson, CA 95642
- Phone
- (209) 257-1722
- Enumerated
- Aug 15, 2006
- Record last updated
- Jul 10, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (209) 257-1726
- Entity
- Type 1 · individual
Also registered at 100 Mission Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amy Appleton, M.D.Pediatrics Physician1134293459
- April Boitano, C.N.M, W.H.N.PAdvanced Practice Midwife1033499215
- Rachel Clay, NPWomen's Health Nurse Practitioner1679742951
- Vikram Kumar, M.D.Pediatrics Physician1477656932
- Aye Moe, M.D.Pediatrics Physician1295053833
- Maureen Mooney-Michels, R.D., C.D.E.Registered Dietitian1497058473
Verify Denise Lack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license RN392072Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Nurse Practitioner providers in California
There are 8,223 nurse practitioner records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
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Common questions
What is Denise Lack, N.P.'s NPI number?
Denise Lack, N.P.'s National Provider Identifier (NPI) is 1104839414, issued on Aug 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Denise Lack, N.P. located?
The NPPES record lists a practice address at 100 Mission Blvd, Jackson, CA, 95642. Phone: (209) 257-1722. Providers update this record themselves, so call before visiting.
How can I verify Denise Lack, N.P.'s license?
NPPES lists California license number RN392072, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.