Individual provider · Type 1 NPI
Jenna Catherine Randall, RN, BSN, FNP-C
Nurse Practitioner · East Syracuse, NY
Practice location
5000 Campuswood Dr
East Syracuse, NY 13057-1236
Mailing address
239 Mckinley St
Minoa, NY 13116-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 768513 (NY) |
| Nurse Practitioner Primary | 363L00000X | 354439 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1619701927
Jenna Catherine Randall, RN, BSN, FNP-C's National Provider Identifier is 1619701927, issued on Aug 28, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Syracuse, NY. The record was last updated on Apr 22, 2025.