# JAMIE L. RANDALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790043792
- **Gender:** F
- **Credential:** FNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 2012011476 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2017001301 | MO | Yes |

## Other

- **Enumeration date:** 04/26/2012
- **Last updated:** 10/19/2018