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

Pat Randolph Lee, PEDNURSEPRACCERT

Individual provider Pediatric Nurse Practitioner · NPI 1174535827

Pat Randolph Lee, PEDNURSEPRACCERT is a Pediatric Nurse Practitioner in Clinton, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006

Practice location Address checks out

11990 Jackson St
Clinton, LA 70722
Phone: (225) 683-5292
Fax: (225) 683-3411
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence AP01814 (LA)

Record details

NPI number1174535827
Entity typeIndividual (Type 1)
GenderMale
Credentials PEDNURSEPRACCERT
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESJuly 26, 2026
Certification dateJanuary 23, 2020