JESSICA NICKOLE RANDOLPH RN NPI 1740076942

NPI Information

  • NPI: 1740076942
  • Provider Name: JESSICA NICKOLE RANDOLPH, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 400 TRACY WAY STE 100
    CHARLESTON, WV
    ZIP 25311
  • Phone: (304) 720-0205

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NPI Details

Jessica Nickole Randolph, RN is a home health registered nurse in Charleston, WV. Jessica Nickole Randolph, RN NPI is 1740076942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 TRACY WAY STE 100
CHARLESTON, WV
ZIP 25311-280
Phone: (304) 720-0205
Fax: (304) 720-0205

The enumeration date for this NPI number is 4/16/2025 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome Health113070WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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