Randolph, Jessica Luanne

Randolph, Jessica Luanne is an individual health care provider with primary practice located at 128 N Whitney Ave , Cookeville TN 38501-2493. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Randolph, Jessica Luanne can be contacted via phone (931) 783-4600.

Contact Information

Primary practice address
128 N Whitney Ave Cookeville TN 38501-2493
Phone: (931) 783-4600
Fax: (931) 783-4699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 17758 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17758 Tennessee

Profile Details

NPI number 1073954400
LBN Legal business name Randolph, Jessica Luanne
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2013
Last updated Mar 5th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers