Individual provider · Type 1 NPI

Bridget Randolph, ARNP

Nurse Practitioner · Fayetteville, GA

NPI number 1972805133 Active

Practice location

1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110

Mailing address

PO Box 30589
Midwest City, OK 73140-3589

Other practice locations

  • 5185 Old National Hwy, Atlanta, GA 30349-3244 · (404) 763-9300

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN230003 (GA)
Family Nurse Practitioner 363LF0000X83618 (OK)
Nurse Practitioner Primary 363L00000XRN230003 (GA)

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 1972805133

Bridget Randolph, ARNP's National Provider Identifier is 1972805133, issued on Nov 21, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, GA. The record was last updated on Oct 18, 2021.