Individual provider · Type 1 NPI
Sandra McKnight Randolph, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Columbia, SC
NPI number
1164547071
Active
Practice location
4100 N Main St Ste 201
Columbia, SC 29203-5800
Mailing address
144 Tannock Ct
Lexington, SC 29072-7967
Other practice locations
- 2711 Colonial Dr, Columbia, SC 29203-6818 · (803) 726-9300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APN840 (SC) |
| Family Nurse Practitioner | 363LF0000X | APN840 (SC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1164547071
Sandra McKnight Randolph, NURSE PRACTITIONER's National Provider Identifier is 1164547071, issued on Mar 20, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbia, SC. The record was last updated on Feb 9, 2026.