NPI 1053788000

Jessica Vernola Randolph, DPM

Practitioner Foot & Ankle Surgery Podiatrist Glendale, AZ

Practice location

Address: 6677 W Thunderbird Rd STE J171, Glendale, AZ 85306-3703
Phone: (623) 226-5442
Mailing address: 6635 W Happy Valley Rd STE A104-276, Glendale, AZ 85310-2609

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence POD-000891 (AZ)

Other Podiatrist providers in Arizona →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence POD-000891 (AZ)

Registry record

NPI: 1053788000
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2015
Record last updated: 15 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.