person
Jessica Randolph, LPC,PA
Medical Physician Assistant in Tahlequah, Oklahoma
NPI 1174842215

Jessica Randolph is a Medical Physician Assistant based in Tahlequah, OK and is specialized in Medical. Jessica Randolph practices in Tahlequah, OK and has the professional credentials of LPC,PA. The NPI Number for Jessica Randolph is 1174842215 and holds a License No. 5388 (Oklahoma).

The current practice location address for Jessica Randolph is 100 S Bliss Ave, Tahlequah, OK and can be reached out via phone at 918-458-3100.

Location: 100 S Bliss Ave, Tahlequah, OK, 74464-2512
person
Provider Profile Details
NPI Number
1174842215
Provider Name
Jessica Randolph
Credential
LPC,PA
Provider Entity Type
Individual
Gender
Female
Address
100 S Bliss Ave, Tahlequah, OK, 74464-2512
Phone Number
918-458-3100
Fax Number
Provider Enumeration Date
05/28/2010
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
100 S Bliss Ave
City
State
Zip
74464-2512
Phone Number
918-458-3100
Fax Number
person
Provider Business Mailing Address Details
Address
100 S Bliss Ave
City
State
Zip
74464-2512
Phone Number
918-458-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3205 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5388 (Oklahoma)
Definition
Definition to come...
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