| Penny Ann Weaver-randle, LPN | |
|
383 Barclay Dr, Columbus, MS 39702-4425 | |
| (662) 327-7315 | |
| (662) 328-9854 |
| Full Name | Penny Ann Weaver-randle |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 383 Barclay Dr, Columbus, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093937344 | NPI | - | NPPES |
| 00770537 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P260275 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Ann Weaver-randle, LPN 383 Barclay Dr, Columbus, MS 39702-4425 Ph: (662) 327-7315 | Penny Ann Weaver-randle, LPN 383 Barclay Dr, Columbus, MS 39702-4425 Ph: (662) 327-7315 |
Ms. Sherrill Ann Culpepper, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 57 Charleston Cir, Columbus, MS 39702 Phone: 662-327-6106 | |
Veronica G Morris, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 207 Constance Ln, Columbus, MS 39702 Phone: 662-240-1310 Fax: 662-244-5844 | |
Mrs. Barbara M Brandon, LPN11(NURSE) Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1005 4th Ave N, Columbus, MS 39701 Phone: 662-328-3247 Fax: 662-328-9854 |