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Penny Ann Weaver-randle, LPN
Licensed Practical Nurse in Columbus, Mississippi
NPI 1093937344

Penny Ann Weaver-randle is a Licensed Practical Nurse based in Columbus, MS. Penny Ann Weaver-randle practices in Columbus, MS and has the professional credentials of LPN. The NPI Number for Penny Ann Weaver-randle is 1093937344 and holds a License No. P260275 (Mississippi).

The current practice location address for Penny Ann Weaver-randle is 383 Barclay Dr, Columbus, MS and can be reached out via phone at 662-327-7315 and via fax at 662-328-9854.

Location: 383 Barclay Dr, Columbus, MS, 39702-4425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093937344
Provider Name
Penny Ann Weaver-randle
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
383 Barclay Dr, Columbus, MS, 39702-4425
Phone Number
662-327-7315
Fax Number
662-328-9854
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770537 05 MS
institution
Provider Business Practice Location Address Details
Address
383 Barclay Dr
City
Columbus
State
Mississippi
Zip
39702-4425
Phone Number
662-327-7315
Fax Number
662-328-9854
person
Provider Business Mailing Address Details
Address
383 Barclay Dr
City
Columbus
State
Mississippi
Zip
39702-4425
Phone Number
662-327-7315
Fax Number
662-328-9854
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
P260275 (Mississippi)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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