Individual
JAMIE ANN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8100 RAVINES EDGE CT STE 200, COLUMBUS, OH 43235-5426
(614) 985-3112
Mailing address
6296 HARES EAR DR, COLUMBUS, OH 43230-6449
(614) 687-0378
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.164219.MEDS-IV
OH
Other
Enumeration date
06/05/2020
Last updated
03/06/2023
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