Provider Demographics
NPI:1477359305
Name:TOMCHIK, JAIME LYNN (RN)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:LYNN
Last Name:TOMCHIK
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 FALLSTON RD
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-1306
Mailing Address - Country:US
Mailing Address - Phone:410-908-8654
Mailing Address - Fax:
Practice Address - Street 1:2608 FALLSTON RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-1306
Practice Address - Country:US
Practice Address - Phone:410-908-8654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR212006163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse