Individual
AMANDA JONES RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3397
(304) 256-4100
Mailing address
436 DIVISION ST, SHADY SPRING, WV 25918-8448
(928) 255-8751
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
114029
WV
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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