Mrs. Jan Sullivan Randle is a Louisville, Mississippi based nurse practitioner with 28 years of experience in . She completed her graduation in 1997. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Jan Sullivan Randle is R652962 in Mississippi. Her current practice location is 14724 Highway 15 N, Louisville. Patients can reach her at 662-773-7500. Mrs. Jan Sullivan Randle is F.N.P. and her NPI number (Unique professional ID assigned by NPPES) is 1184675134. Mrs. Jan Sullivan Randle has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Jan Sullivan Randle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mrs. Jan Sullivan Randle
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
F.N.P.
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1997
Accepts Medicare Assignment:
Yes
Practice Address:
14724 Highway 15 N, Louisville, Mississippi, 39339-6318
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8820045370
Enrollment ID:
I20050406000664
NPI Number:
1184675134
NPI Enumeration Date:
15 May, 2006
NPI Last Update On:
10 Mar, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Jan Sullivan Randle are as mentioned below.
License Number
Specialization
State
Status
R652962
Mississippi
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(251334)
Ackerman, MS
Critical Access Hospital
(250027)
Louisville, MS
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Jan Sullivan Randle is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Choctaw Regional Medical Center (2567682206)
21
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Jan Sullivan Randle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00118926
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Jan Sullivan Randle 8613 Ms Highway 12, Ackerman, Mississippi
Zip:
39735-8917
Phone Number:
662-285-9460
Patients can reach Mrs. Jan Sullivan Randle at 14724 Highway 15 N, Louisville, Mississippi or can call to book an appointment on 662-773-7500.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.