SearchMinnesotaPsychiatric/Mental Health Nurse Practitioner

Jeremiah Randall, PMHNP-BC

NPI 1407447246 · on the registry since 2021 · sole proprietor

Practice

Address
841 Forest Ave E Ste 210
Mora, MN 55051
Phone
(320) 244-2451
Organisation at this address
East Central Behavioral Health Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 6375 W 143rd St, Savage, MN

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota