Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA RANDOLPH, LPC, PA
ActiveJESSICA RANDOLPH, LPC, PA is a Medical Physician Assistant healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1174842215 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1174842215
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2010 (16.224282765737 yrs)
- Last Updated
- Sep 20, 2024
- Licenses
-
5388 (OK)3205 (OK)
Practice Information
- Address
-
100 S BLISS AVETAHLEQUAH, OK, 744642512Browse OK providers · Browse ZIP 74464
- Phone
- 9184583100
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in TAHLEQUAH, OK
| Name | Credential | NPI |
|---|---|---|
| SEAN M SCEARCE | PA | 1194715730 |
| STEPHAN M YOST | PA-C | 1063497931 |
| PHILIP DEAN WATSON | PA | 1730227299 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.