Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMIAH SCOTT RANDALL, PMHNP-BC
Active Sole ProprietorJEREMIAH SCOTT RANDALL, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MORA, Minnesota. NPI 1407447246 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MORA, MN
Registration Details
- NPI Number
- 1407447246
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2021 (5.5397707660845 yrs)
- Last Updated
- Oct 30, 2024
- License
-
8527 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
841 FOREST AVE E STE 210MORA, MN, 550515501Browse MN providers · Browse ZIP 55051
- Phone
- 3202442451
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in MORA, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. KARISSA IGNASZEWSKI | PMHNP-C | 1518222355 |
| JESSICA STOKES | DNP, APRN, PMHNP-BC | 1881313435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.