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

Randon Carl Jenkins

Individual provider Gerontology Nurse Practitioner · NPI 1093217218

Randon Carl Jenkins is a Nurse Practitioner in Warren, Michigan. Qualified in 2016, 10 years ago. Practices with Sami Abu Farha MD PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2018

Practice location Address checks out

4669 E 8 Mile Rd
Warren, MI 48091-2709
Phone: (313) 416-6262
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704273274 (MI)

Record details

NPI number1093217218
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2018
Last updated in NPPESMarch 3, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sami Abu Farha Md Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Warren