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Mrs. Jan Sullivan Randle, FNP
Nurse Practitioner in Louisville, Mississippi
NPI 1184675134

Jan Sullivan Randle is a Nurse Practitioner based in Ackerman, MS. Jan Sullivan Randle practices in Louisville, MS and has the professional credentials of FNP. The NPI Number for Jan Sullivan Randle is 1184675134 and holds a License No. R652962 (Mississippi).

The current practice location address for Jan Sullivan Randle is 14724 Highway 15 N, Louisville, MS and can be reached out via phone at 662-773-7500.

Location: 14724 Highway 15 N, Louisville, MS, 39735-8917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184675134
Provider Name
Jan Sullivan Randle
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
14724 Highway 15 N, Louisville, MS, 39735-8917
Phone Number
662-773-7500
Fax Number
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00118926 05 MS
institution
Provider Business Practice Location Address Details
Address
14724 Highway 15 N
City
Louisville
State
Mississippi
Zip
39339-6318
Phone Number
662-773-7500
Fax Number
person
Provider Business Mailing Address Details
Address
14724 Highway 15 N
City
Louisville
State
Mississippi
Zip
39339-6318
Phone Number
662-773-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R652962 (Mississippi)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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