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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA RANDOLPH, LPC, PA

Active

JESSICA 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 AVE
TAHLEQUAH, OK, 744642512
Browse 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.