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

Jazmine S Randolph

Individual provider Gerontology Nurse Practitioner · NPI 1487355087

Jazmine S Randolph is a Gerontology Nurse Practitioner in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

9608 Pinehurst St
Detroit, MI 48204-4652
Phone: (313) 421-9771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704327595 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704327595 (MI)

Record details

NPI number1487355087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 12, 2023

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