Individual
JENNIFER RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(833) 362-7935
(239) 561-2933
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 236-8784
(239) 790-2624
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11026542
FL
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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