Individual provider · Type 1 NPI

Teqienna Dianne Randall, NP

Nurse Practitioner · Springdale, AR

NPI number 1750865929 Active

Practice location

609 W Maple Ave
Springdale, AR 72764-5335

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Other practice locations

  • 3000 Medical Center Pkwy, Bentonville, AR 72712-3217 · (479) 553-1000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XA005617 (AR)

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 1750865929

Teqienna Dianne Randall, NP's National Provider Identifier is 1750865929, issued on Sep 24, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springdale, AR. The record was last updated on Sep 24, 2018.