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Jacqueline Randall
NPI 1124933817 · on the registry since 2026
Practice
- Address
- 1502 W Edgewood Ave
Indianapolis, IN 46217 - Phone
- (317) 791-9031
- Fax
- (317) 791-9001
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana