Individual
ABIGAIL RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
8513 OLD COUNTRY MNR, APT 410, DAVIE, FL 33328-2992
(205) 527-3145
Mailing address
777 BANISTER DR, CLARKSVILLE, TN 37042-6681
(205) 527-3145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22343
TN
363LF0000X
Family Nurse Practitioner
22343
TN
363LF0000X
Family Nurse Practitioner
9363644
FL
Other
Enumeration date
10/26/2016
Last updated
01/04/2022
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