Individual provider · Type 1 NPI

Beverly Jan Randle, F.N.P.

Nurse Practitioner · Louisville, MS

NPI number 1184675134 Active

Practice location

14724 Highway 15 N
Louisville, MS 39339-6318

Mailing address

8613 Ms Highway 12
Ackerman, MS 39735-8917

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR652962 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184675134

Beverly Jan Randle, F.N.P.'s National Provider Identifier is 1184675134, issued on May 15, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Louisville, MS. The record was last updated on Jul 7, 2025.