Individual
JESSICA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5965 E BROAD ST STE 200, COLUMBUS, OH 43213-1562
(614) 234-8860
Mailing address
5965 E BROAD ST STE 200, COLUMBUS, OH 43213-1562
(614) 234-8860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024996
OH
Other
Enumeration date
06/05/2019
Last updated
07/26/2019
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