Provider Demographics
NPI:1699336628
Name:RANDLE, APRIL DAWN (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:DAWN
Last Name:RANDLE
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 CASTLEWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-7357
Mailing Address - Country:US
Mailing Address - Phone:769-203-0922
Mailing Address - Fax:
Practice Address - Street 1:609 CASTLEWOODS BLVD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-7357
Practice Address - Country:US
Practice Address - Phone:769-203-0922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS903384363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03029257Medicaid