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Individual

JENNIFER JOHNSON VOLLMER

Active
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Individual

JENNIFER JOHNSON VOLLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001172
VA
363A00000X
Physician Assistant
Primary
2676
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010134099
—
VA
05
—
1124111083
—
VA
01
—
P00810122
RR MEDICARE
VA
Enumeration date
10/02/2006
Last updated
11/08/2017
About Stedi
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