Healthcare Provider Details

I. General information

NPI: 1700708575
Provider Name (Legal Business Name): JAMIE DANSICKER RN MSN OCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 OLD COURT RD APT 217
BALTIMORE MD
21208-6449
US

IV. Provider business mailing address

4001 OLD COURT RD APT 217
BALTIMORE MD
21208-6449
US

V. Phone/Fax

Practice location:
  • Phone: 410-746-5114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberR228708
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: