Individual provider · Type 1 NPI

Sydney Lanell Randall, AGACNP

Nurse Practitioner · Fort Sam Houston, TX

NPI number 1720678808 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (301) 925-2900 Map

Fax (706) 868-8375

Mailing address

PO Box 12187
Augusta, GA 30914-2187

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1019049 (TX)

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 1720678808

Sydney Lanell Randall, AGACNP's National Provider Identifier is 1720678808, issued on Jan 21, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jan 21, 2024.