Individual
JANE ARLENE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
7107 CARATOKE HIGHWAY, JARVISBURG, NC 27947
(252) 491-2885
(252) 491-8699
Mailing address
PO BOX 109, JARVISBURG, NC 27947-0109
(252) 491-2885
(252) 491-8699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300157
NC
Other
Enumeration date
01/12/2007
Last updated
07/12/2010
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