Randolph, Jessica Vernola

Randolph, Jessica Vernola is an individual health care provider with primary practice located at 6635 W Happy Valley Rd Ste A104-276 , Glendale AZ 85310-2609. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Randolph, Jessica Vernola can be contacted via phone (623) 330-0279.

Contact Information

Primary practice address
6635 W Happy Valley Rd Ste A104-276 Glendale AZ 85310-2609
Phone: (623) 330-0279
Fax: (480) 383-6308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD-000891 Arizona
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD-000891 Arizona

Profile Details

NPI number 1053788000
LBN Legal business name Randolph, Jessica Vernola
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2015
Last updated Apr 24th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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