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PENNY ANN WEAVER-RANDLE LPN
NPI 1093937344
Licensed Practical Nurse in Columbus, MS

Active since May 03, 2007
383 BARCLAY DR, COLUMBUS, MS 39702(662) 327-7315(662) 328-9854 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Penny Ann Weaver-randle Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNY ANN WEAVER-RANDLE LPN (NPI 1093937344) is an individual licensed practical nurse in Columbus, Mississippi, licensed in Mississippi (P260275) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1093937344
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePENNY ANN WEAVER-RANDLECredential: LPN
Location Address383 BARCLAY DRColumbus, MS 39702-4425
Mailing Address383 Barclay DrColumbus, MS 39702-4425 · (662) 327-7315 · Fax (662) 328-9854
Phone(662) 327-7315
Fax(662) 328-9854
Sole ProprietorYes
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1093937344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MS · P260275
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
383 BARCLAY DR, Columbus, MS 39702
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Other Identifiers 1

Medicaid00770537MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penny Weaver-randle's NPI number?

The NPI number for Penny Weaver-randle is 1093937344. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Penny Weaver-randle located?

Penny Weaver-randle practices at 383 Barclay Dr, Columbus, MS 39702. The listed phone number is (662) 327-7315.

What is Penny Weaver-randle's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Penny Weaver-randle was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.