BRANDY LYNNETTE LAKE FNP-C
NPI 1790621787
Nurse Practitioner - Acute Care in Marshall, MO
About Brandy Lynnette Lake Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDY LYNNETTE LAKE FNP-C (NPI 1790621787) is an individual acute care provider in Marshall, Missouri, licensed in Missouri (2026015358) and active in the NPI registry since April 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARSHALL, MO 65340
MARSHALL, MO 65340
MARSHALL, MO 65340
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brandy Lake's NPI number?
The NPI number for Brandy Lake is 1790621787. It was assigned to this individual provider in the NPPES registry on April 24, 2026.
Where is Brandy Lake located?
Brandy Lake practices at 2305 S Highway 65, Marshall, MO 65340. The listed phone number is (660) 886-7431.
What is Brandy Lake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
When was this NPI record last updated?
The NPPES record for Brandy Lake was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
