Individual
JESSICA HATFIELD RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152-4402
(770) 702-1806
Mailing address
465 OLD CREEK RD, ATLANTA, GA 30342-2755
(205) 743-8655
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
133695
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN291404
GA
Other
Enumeration date
06/02/2021
Last updated
05/27/2025
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