ASHLEY MARIE RANDALL APN NPI 1114617818

NPI Information

  • NPI: 1114617818
  • Provider Name: ASHLEY MARIE RANDALL, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 216 CHIGGER VALLEY RD
    JACKSONVILLE, AR
    ZIP 72076
  • Phone: (501) 650-2041

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NPI Details

Ashley Marie Randall, APN is a family nurse practitioner in Jacksonville, AR with 5 years of experience. Ashley Marie Randall, APN NPI is 1114617818. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

216 CHIGGER VALLEY RD
JACKSONVILLE, AR
ZIP 72076-158
Phone: (501) 650-2041

The NPI 1114617818 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2023 and was last updated on 5/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily223830ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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