Mrs Joleen Marie Lake, APRN is a 
Nurse Practitioner based in North Ft Myers, Florida. Mrs Joleen Marie Lake is licensed to practice in Florida (license number 11003074) and her current practice location is 
17317 Leaning Oak Trl, North Ft Myers, Florida. She can be reached at her office (for appointments etc.) via phone at 
(239) 691-1398.
NPI number for Mrs Joleen Marie Lake is 1922267467 and her current mailing address is 17317 Leaning Oak Trl, North Ft Myers, Florida. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922267467.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Mrs Joleen Marie Lake | 
|---|
| Gender | Female | 
|---|
| Speciality | Nurse Practitioner | 
|---|
| Location | 17317 Leaning Oak Trl, North Ft Myers, Florida | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1922267467
- Provider Enumeration Date: 06/09/2008
- Last Update Date: 08/12/2025
 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Joleen Marie Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1922267467 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 363L00000X | Nurse Practitioner | 11003074 (Florida) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Joleen Marie Lake is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mrs Joleen Marie Lake, APRN 17317 Leaning Oak Trl,
 North Ft Myers, FL 33917-2154
 Ph: (239) 691-1398
 | Mrs Joleen Marie Lake, APRN 17317 Leaning Oak Trl,
 North Ft Myers, FL 33917-2154
 Ph: (239) 691-1398
 | 
		
		 
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