Individual provider · Type 1 NPI

Kristin Randolph

Family Nurse Practitioner · Gainesville, GA

NPI number 1972257434 Active

Practice location

103 Jesse Jewell Pkwy SW
Gainesville, GA 30501-4321

Mailing address

4765 Fairways Ln
Jefferson, GA 30549-8836

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN257493 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1972257434

Kristin Randolph's National Provider Identifier is 1972257434, issued on Feb 3, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gainesville, GA. The record was last updated on Apr 25, 2022.