Healthcare Provider Details

I. General information

NPI: 1689857088
Provider Name (Legal Business Name): JAMY ADELINA BATDORFF MPH, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. JAMY ADELINA BARAHONA

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10981 JOHNS HOPKINS RD
LAUREL MD
20723-6002
US

IV. Provider business mailing address

6230 OLD DOBBIN LN STE 230
COLUMBIA MD
21045-5884
US

V. Phone/Fax

Practice location:
  • Phone: 410-694-7999
  • Fax:
Mailing address:
  • Phone: 410-730-3399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberC0003680
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: