Jan Sullivan Randle in Louisville - Nurse Practitioner
Jan Sullivan Randle - NPI 1184675134
Jan Sullivan Randle is a Nurse Practitioner in Louisville, Mississippi. Jan Sullivan Randle practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jan Sullivan Randle is 1184675134. The last update date is 2020-03-10.
Jan Sullivan Randle's current location address is 14724 Highway 15 N, Louisville, Mississippi. You can contact this provider via phone number 6627737500. The mailing address for Jan Sullivan Randle is 14724 Highway 15 N, Louisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan Sullivan Randle |
|---|---|
| Address | 14724 Highway 15 N, Louisville, Mississippi |
| Phone Number | 6627737500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | F.N.P. |
NPI Number Detail
| NPI Number | 1184675134 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2020-03-10 |
Provider Mailing Address Detail
| Address | 14724 Highway 15 N |
|---|---|
| City | Louisville |
| State | Mississippi (MS) |
| Post Code | 3933963180 |
| Phone Number | 6627737500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R652962 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118926 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jan Sullivan Randle by the Centers for Medicare & Medicaid Services?
The Jan Sullivan Randle has been issued the NPI (National Provider Identifier) 1184675134 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jan Sullivan Randle's facilities are geographically located?
The facilities of Jan Sullivan Randle are physically situated at the following location: 14724 Highway 15 N, Louisville, MS, 3933963180.
What is the Jan Sullivan Randle's specialty and taxonomy code?
The Jan Sullivan Randle's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184675134 to Jan Sullivan Randle?
The Jan Sullivan Randle received its 1184675134 assignment from the Centers for Medicare & Medicaid Services on 2006-05-15.
As of what date were the details pertaining to Jan Sullivan Randle last refreshed?
The information related to the Jan Sullivan Randle, including its address, specialty, and other relevant details, was last updated on 2020-03-10.