JOVAN MONIQUE RANDALL NPI 1962805952

NPI Information

  • NPI: 1962805952
  • Provider Name: JOVAN MONIQUE RANDALL
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 112 MAVERICK CT
    GRANBURY, TX
    ZIP 76049
  • Phone: (985) 215-9041

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NPI Details

Jovan Monique Randall is a family nurse practitioner in Granbury, TX. Jovan Monique Randall NPI is 1962805952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

112 MAVERICK CT
GRANBURY, TX
ZIP 76049-381
Phone: (985) 215-9041

The NPI 1962805952 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 10/3/2014 and was last updated on 3/24/2025.

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 PractitionerFamily95034690CALIFORNIANo
2363LF0000XNurse PractitionerFamilyTPAN3168FLORIDANo
3363LF0000XNurse PractitionerFamilyAP137273TEXASYes

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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