MRS. JACQUELINE ANN RANDOLPH IBCLC,RLC
NPI 1124216395
Specialist in Murfreesboro, TN

Q: What is Jacqueline Randolph's NPI number?

The NPI number for Jacqueline Randolph is 1124216395. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Q: What is Jacqueline Randolph's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 11, 2007

4131 AVALON PL, MURFREESBORO, TN 37128(615) 895-0068(615) 895-0068 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Jacqueline Ann Randolph Ibclc,rlc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELINE ANN RANDOLPH IBCLC,RLC (NPI 1124216395) is an individual specialist in Murfreesboro, Tennessee and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1124216395

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. JACQUELINE ANN RANDOLPHCredential: IBCLC,RLC

Location Address4131 AVALON PLMurfreesboro, TN 37128-4520

Mailing Address4131 Avalon PlMurfreesboro, TN 37128-4520 · (615) 895-0068 · Fax (615) 895-0068

Phone(615) 895-0068

Fax(615) 895-0068

Sole ProprietorYes

Enumeration DateOctober 11, 2007

✔ NPI 1124216395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4131 AVALON PL, Murfreesboro, TN 37128

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Randolph's NPI number?

The NPI number for Jacqueline Randolph is 1124216395. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Jacqueline Randolph located?

Jacqueline Randolph practices at 4131 Avalon Pl, Murfreesboro, TN 37128. The listed phone number is (615) 895-0068.

What is Jacqueline Randolph's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Randolph was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.