Glynnis D Randall, F.N.P.
Nurse Practitioner in Wiggins, MS. Individual provider (NPI-1).
NPI number1346355583
StatusActive
Last updated in NPPESNov 22, 2016
Details
- NPI
- 1346355583
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Glynnis D Randall
- Credential
- F.N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2006
- Last updated
- Nov 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R764278 | MS | Yes |
Practice location
975 Hall StWiggins, MS 39577-2107
Phone 601-528-9119 · Fax 601-528-9193
Mailing address
Po Box 1007Lucedale, MS 39452-1007
Phone 601-947-1332 · Fax 601-947-1331
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All 6 Nurse Practitioner providers in Wiggins · All 160 providers in Wiggins
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