Jessica Randolph, LPC, PA is a medical physician assistant in Tahlequah, OK with 4 years of experience. Jessica Randolph, LPC, PA NPI is 1174842215. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
100 S BLISS AVE
TAHLEQUAH, OK
ZIP 74464-512
Phone: (918) 458-3100
The NPI 1174842215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/28/2010 and was last updated on 7/22/2021.