Provider Demographics
NPI:1558661561
Name:VOLLMER, CHRISTY M (PA)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:M
Last Name:VOLLMER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1937 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37760-5303
Mailing Address - Country:US
Mailing Address - Phone:989-890-8185
Mailing Address - Fax:
Practice Address - Street 1:1819 W CLINCH AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2435
Practice Address - Country:US
Practice Address - Phone:865-546-5111
Practice Address - Fax:865-541-4018
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2020-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN2108363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2108OtherLICENSE