Individual
JESSICA LUANNE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2493
(931) 783-4600
(931) 783-4699
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17758
TN
363LF0000X
Family Nurse Practitioner
Primary
17758
TN
Other
Enumeration date
07/14/2013
Last updated
03/05/2025
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