Doctor profile · Federal record
Dr. Linnea Lake, CFNP
Family Nurse Practitioner · Gulfport, MS
- NPI 1770550618
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4500 W Railroad St
Gulfport, MS 395012479
(228) 863-8836 - Additional location
-
10828 Highway 57
Vancleave, MS 39565
(228) 826-4711
fax (228) 826-0657 - Mailing address
-
Po Box 475
Biloxi, MS 39533
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- March 17, 2018
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Mississippi #R787174
- Medicaid
- MS #00121696
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770550618. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$39
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, Inc | 2 | $38.55 |
By nature of payment
Frequently asked questions
What is Dr. Linnea Lake's medical specialty?
Dr. Linnea Lake practices Family Nurse Practitioner in Gulfport, MS.
Where does Dr. Linnea Lake practice?
Dr. Linnea Lake practices at 4500 W Railroad St, Gulfport, MS 395012479. Office phone: 2288638836.
What is Dr. Linnea Lake's NPI?
Dr. Linnea Lake's National Provider Identifier (NPI) is 1770550618, issued by NPPES.