Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacquetta Taisha Randall, MD

Individual provider Pediatrics Physician · NPI 1588982466

Dr. Jacquetta Taisha Randall, MD is a Pediatrics Physician in Henderson, North Carolina. Licensed in California and North Carolina. Registered with an NPI since 2010.

Licensed in
CA, NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

451 Ruin Creek Rd Ste 101
Henderson, NC 27536-2878
Phone: (252) 492-9565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2012-01956 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence A111970 (CA)

Record details

NPI number1588982466
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2010
Last updated in NPPESOctober 29, 2012

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