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

Mrs. Jacqueline Ann Randolph, IBCLC, RLC

Individual provider Specialist · NPI 1124216395

Mrs. Jacqueline Ann Randolph, IBCLC, RLC is a Specialist in Murfreesboro, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2007
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Practice location Address checks out

4131 Avalon Pl
Murfreesboro, TN 37128-4520
Phone: (615) 895-0068
Fax: (615) 895-0068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (TN)

Record details

NPI number1124216395
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC , RLC
Sole proprietorYes
NPI enumeratedOctober 11, 2007
Last updated in NPPESOctober 11, 2007

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