Individual provider · Type 1 NPI

Jovan Monique Randall

Family Nurse Practitioner · Granbury, TX

NPI number 1962805952 Active

Practice location

112 Maverick Ct
Granbury, TX 76049-1381

Mailing address

195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073

Other practice locations

  • 195 Page Mill Rd Ste 103, Palo Alto, CA 94306-2073 · (985) 215-9041
  • 8754 Spring Cypress Rd, Spring, TX 77379-3135 · (985) 215-9041
  • 111 N Orange Ave Ste 800, Orlando, FL 32801-2381 · (888) 731-8994

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X95034690 (CA)
Family Nurse Practitioner 363LF0000XTPAN3168 (FL)
Family Nurse Practitioner Primary 363LF0000XAP137273 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1962805952

Jovan Monique Randall's National Provider Identifier is 1962805952, issued on Oct 3, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Granbury, TX. The record was last updated on Mar 24, 2025.