Nurse Practitioner, Gerontology
LESLEY RANDOLL APRN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1104240035 · enumerated 2014-02-12 · record updated 2021-04-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 391 N MAIN ST, KISSIMMEE, FL, 34744-5271 (407) 518-1074 Google Maps Apple Maps OpenStreetMap
- Mailing address 391 N MAIN ST, KISSIMMEE, FL, 34744-5271 (407) 518-1074 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Primary Care 363LP2300X · License APRN11002450 FL
- Nurse Practitioner, Obstetrics & Gynecology 363LX0001X · License APRN11002450 FL
- Clinical Nurse Specialist, Adult Health 364SA2200X · License 2014003661 MO
- Clinical Nurse Specialist, Gerontology 364SG0600X · License 2014003661 MO
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License APRN11002450 FL
In this directory
Locations and evidence
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Practice location
KISSIMMEE, FL, 347445271
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.