Provider Demographics
NPI:1417948613
Name:VOLMERT, JODI LYNN (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:LYNN
Last Name:VOLMERT
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:DR
Other - First Name:JODI
Other - Middle Name:LYNN
Other - Last Name:SISKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, MPH
Mailing Address - Street 1:1154 COLUMBUS CIR
Mailing Address - Street 2:
Mailing Address - City:ANDREWS AFB
Mailing Address - State:MD
Mailing Address - Zip Code:20762-5401
Mailing Address - Country:US
Mailing Address - Phone:813-789-1567
Mailing Address - Fax:240-857-3073
Practice Address - Street 1:1075 W. PERIMETER RD
Practice Address - Street 2:79 AMDS/SGPF
Practice Address - City:ANDREWS AFB
Practice Address - State:MD
Practice Address - Zip Code:20762
Practice Address - Country:US
Practice Address - Phone:240-857-5282
Practice Address - Fax:240-857-3073
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-1116992083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine