Individual
ZELMA KATHERINE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 968-5292
(225) 683-3411
Mailing address
P. O. BOX 395, CLINTON, LA 70722-3210
(225) 968-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
325141986
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995827
—
LA
Enumeration date
10/26/2005
Last updated
05/22/2012
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