Healthcare Provider Details

I. General information

NPI: 1265346431
Provider Name (Legal Business Name): JAMIRA FAHIE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4470 SPRING AVE
BALTIMORE MD
21227-4530
US

IV. Provider business mailing address

4470 SPRING AVE
BALTIMORE MD
21227-4530
US

V. Phone/Fax

Practice location:
  • Phone: 443-802-4626
  • Fax:
Mailing address:
  • Phone: 443-802-4626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberR262804
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: