Individual
NANCY JANE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
2078 BEAVER RUIN RD, SUITE 500, NORCROSS, GA 30071-3765
(770) 734-0999
(770) 734-0037
Mailing address
2 SEARS DR, STE 104, PARAMUS, NJ 07652-3525
(770) 734-0999
(770) 734-0037
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00258000
NJ
Other
Enumeration date
05/04/2006
Last updated
01/20/2016
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