IndividualActive
Penny Weaver-Randle, LPN
NPI 1093937344 · Licensed Practical Nurse · Columbus, MS
Penny Weaver-Randle, LPN is a Licensed Practical Nurse provider in Columbus, MS (NPI 1093937344).
Provider details
- NPI number
- 1093937344
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- P260275 (MS)
Practice location
383 Barclay Dr
Columbus, MS 39702-4425
Phone: (662) 327-7315
Fax: (662) 328-9854
Street-level locationGet directions
Mailing address
383 Barclay Dr
Columbus, MS 39702-4425
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.