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

Jasmine Randelson

Individual provider Family Nurse Practitioner · NPI 1710507785

Jasmine Randelson is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2021, 5 years ago. Practices with Southern NP Associates LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
5
Licensed in
AL
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1802 6th Ave S
Birmingham, AL 35233-1932
Phone: (205) 934-9047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 147363 (AL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1-147363 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 1-147363 (AL)

Record details

NPI number1710507785
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2020
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern Np Associates Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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