Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Denise Lack, N.P.
Nurse Practitioner in Jackson, CA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104839414
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Registry record
Entity type Individual (Type 1)
Name Denise Lack
Credential N.P.
Sex Female
Practice address 100 Mission Blvd, Suite 2600, Jackson, CA, 95642
Phone (209) 257-1722
Fax (209) 257-1726
Enumeration date Aug 15, 2006
Last updated in NPPES Jul 10, 2015
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN392072 (CA) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority.
About the NP credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Denise Lack?
The National Provider Identifier (NPI) for Denise Lack is 1104839414, a Type 1 (individual) record in the CMS NPPES registry.
Where does Denise Lack practice?
The practice location on file with NPPES is in Jackson, CA. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Robert Young Obstetrics & Gynecology Physician · Jackson, CA NPI 1790777662 David Stone Pediatric Adolescent Medicine Physician · Jackson, CA NPI 1871566323 Vikram Kumar Pediatrics Physician · Jackson, CA NPI 1477656932 Amy Appleton Pediatrics Physician · Jackson, CA NPI 1134293459 Rachel Clay Women's Health Nurse Practitioner · Jackson, CA NPI 1679742951 Yosemite Pathology Medical Group, Inc Clinical Medical Laboratory · Jackson, CA NPI 1760657720 Melanie Trowbridge Prescribing (Medical) Psychologist · Jackson, CA NPI 1861644635 Aye Moe Pediatrics Physician · Jackson, CA NPI 1295053833
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-10.