MRS. GLYNNIS D RANDALL


Address: 975 Hall St, Wiggins, MS 39577-2107
Phone: 6015289119

MRS. GLYNNIS D RANDALL (NPI# 1346355583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346355583
Entity Type Individual
Full Name MRS. GLYNNIS D RANDALL
Credential F.N.P.
Practice Address 975 Hall St
Wiggins
MS 39577-2107
Mailing Address Po Box 1007
Lucedale
MS 39452-1007
Practice Telephone 6015289119
Practice Fax Number 6015289193
Mailing Telephone 6019471332
Mailing Fax Number 6019471331
Enumeration Date 2006-08-20
Last Update Date 2016-11-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner R764278 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 0116288 05

Office Location

Street Address 975 HALL ST
City WIGGINS
State MS
Zip Code 39577-2107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518906734 Donald Robert Doran Jr. Family Medicine 975 Hall St, Wiggins, MS 39577-2107 2006-06-05
1487127031 Tristan Diaz Registered Nurse 975 Hall St, Wiggins, MS 39577-2107 2019-01-07
1851816797 Crystal Renee Stafford Nurse Practitioner 975 Hall St, Wiggins, MS 39577-2107 2017-08-12
1922381466 Michelle Mcqueen Johnson Nurse Practitioner 975 Hall St, Wiggins, MS 39577-2107 2011-09-21
1639182124 Deepinder S. Burn Internal Medicine 975 Hall St, Wiggins, MS 39577-2107 2006-08-14
1740293257 Wiggins Primary Care Family Medicine 975 Hall St, Wiggins, MS 39577-2107 2006-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689057721 John Thames Emergency Medicine 1428 Azalea Dr S, Wiggins, MS 39577 2015-07-07
1235468190 Stone County School District Local Education Agency (LEA) 214 Critz Street, Wiggins, MS 39577 2009-12-23
1043452493 Stone County Hospital, Inc General Acute Care Hospital 1434 E Central Ave., Wiggins, MS 39577 2009-04-01
1245274414 James Walter Holmes Family Medicine 975 Hall Street, Wiggins, MS 39577 2006-06-16
1891223186 Christine L Ladner Nurse Practitioner 1434 Central Ave E, Wiggins, MS 39577 2017-05-31
1790962637 The Vision Center Pa Optometrist 1113 Central Ave E, Wiggins, MS 39577 2008-01-23
1821009465 County Discount Drugs, Inc. Durable Medical Equipment & Medical Supplies 820 Hall St, Wiggins, MS 39577-2100 2006-08-10
1154430940 Batson Physical Therapy, Inc. Clinic/Center 711 Hall St, Wiggins, MS 39577-2105 2006-08-29
1033723937 Katherine B Tyree Physical Therapist 711 Hall St, Wiggins, MS 39577-2105 2020-09-08
1114569340 Johelen K Trisler Physical Therapy Assistant 711 Hall St, Wiggins, MS 39577-2105 2019-10-09
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821634502 Kathy Renee Wilkinson Nurse Practitioner 990 Highway 29, Wiggins, MS 39577-8430 2019-11-18
1235553462 Rebecca Harris Nurse Practitioner 1440 Central Ave E, Wiggins, MS 39577-9602 2014-02-07
1033340690 James Jason Rogers Nurse Practitioner 1434 Central Ave E, Wiggins, MS 39577-9602 2009-07-30
1487631461 Lisa D Morgan Nurse Practitioner 805 Hall St, Wiggins, MS 39577-2110 2005-12-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952913618 Cynthia Marie Nonamaker Nurse Practitioner 4641 Ridge Rd, Columbus, MS 39705-2862 2020-08-23
1275145781 Amanda Allred Nurse Practitioner 59 Lynn Lane, Starkville, MS 39759 2020-08-18
1093323461 Lauren Elizabeth Boone Nurse Practitioner 3415 Shiloh Ln, Southaven, MS 38672-6045 2020-07-21
1558979229 Adrianne Amanda Anderson Nurse Practitioner 8390 Ansley Park Ln, Southaven, MS 38672-8340 2020-07-20
1295343028 Latesha Rochelle Williams Nurse Practitioner 309 Mcswain Rd, New Augusta, MS 39462-9760 2020-07-17
1316565914 Youchoose Nurse Practitioner 10071 Imc Rd, Aberdeen, MS 39730-8408 2020-07-09
1891312948 Courtney Rae Gordon Nurse Practitioner 601 Highway 80 E, Clinton, MS 39056-5122 2020-07-05
1568089977 Kaitlin Johnson Hinton Nurse Practitioner 3275 Us 49 E, Collins, MS 39428 2020-07-01
1376169920 Brittany Linton Nurse Practitioner 149 Fountains Blvd, Madison, MS 39110-6344 2020-06-19
1356960777 Jennifer M Hunter Nurse Practitioner 8970 Lorraine Rd, Gulfport, MS 39503-4176 2020-04-15
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City WIGGINS
Zip Code 39577

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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