Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Jan Randle, FNP

Individual provider Nurse Practitioner · NPI 1184675134

Beverly Jan Randle, FNP is a Nurse Practitioner in Louisville, Mississippi. Qualified in 1997, 29 years ago. Practices with Choctaw Regional Medical Center, a 39-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
29
Licensed in
MS
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

14724 Highway 15 N
Louisville, MS 39339-6318
Phone: (662) 773-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R652962 (MS)

Record details

NPI number1184675134
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESJuly 7, 2025
Certification dateJuly 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Choctaw Regional Medical Center — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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