JESSICA NICKOLE RANDOLPH RN
NPI 1740076942
Registered Nurse - Home Health in Charleston, WV

Active since April 16, 2025
400 TRACY WAY STE 100, CHARLESTON, WV 25311(304) 720-0205(304) 720-0205 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Nickole Randolph Rn NPPES

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

JESSICA NICKOLE RANDOLPH RN (NPI 1740076942) is an individual home health provider in Charleston, West Virginia, licensed in West Virginia (113070) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1740076942
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameJESSICA NICKOLE RANDOLPHCredential: RN
Location Address400 TRACY WAY STE 100Charleston, WV 25311-1280
Mailing Address1070 New Stone Ridge RdRipley, WV 25271-5264 · (304) 549-6293
Fax(304) 720-0205
Sole ProprietorNo
Enumeration DateApril 16, 2025
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
NPI 1740076942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License Licensed in WV · 113070
400 TRACY WAY STE 100, Charleston, WV 25311

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
400 TRACY WAY STE 100
CHARLESTON, WV 25311
Registered Nurse (Home Health)
400 TRACY WAY STE 100
CHARLESTON, WV 25311
Registered Nurse (Home Health)
400 TRACY WAY STE 100
CHARLESTON, WV 25311
Registered Nurse
400 TRACY WAY STE 100
CHARLESTON, WV 25311
Licensed Practical Nurse
400 TRACY WAY STE 100
CHARLESTON, WV 25311
Licensed Practical Nurse
400 TRACY WAY STE 100
CHARLESTON, WV 25311
Registered Nurse
400 TRACY WAY STE 100
CHARLESTON, WV 25311
Registered Nurse (Home Health)
400 TRACY WAY STE 100
CHARLESTON, WV 25311

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 Jessica Randolph's NPI number?

The NPI number for Jessica Randolph is 1740076942. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Jessica Randolph located?

Jessica Randolph practices at 400 Tracy Way Ste 100, Charleston, WV 25311. The listed phone number is (304) 720-0205.

What is Jessica Randolph's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Jessica Randolph was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.