Individual
HOLLY ANN RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1060 HARRISON WAY, CLARKSVILLE, TN 37042-2509
(662) 882-3719
Mailing address
1060 HARRISON WAY, CLARKSVILLE, TN 37042-2509
(662) 882-3719
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202979
TN
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
202979
TN
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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