Provider Demographics
NPI:1104295211
Name:FALK, JAIMEE LYNNE (ARNP)
Entity type:Individual
Prefix:
First Name:JAIMEE
Middle Name:LYNNE
Last Name:FALK
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:JAIMEE
Other - Middle Name:LYNNE
Other - Last Name:GRIBBEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2605 38TH ST
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7923
Mailing Address - Country:US
Mailing Address - Phone:406-270-4303
Mailing Address - Fax:
Practice Address - Street 1:1003 S 5TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4210
Practice Address - Country:US
Practice Address - Phone:253-403-1677
Practice Address - Fax:253-403-1039
Is Sole Proprietor?:No
Enumeration Date:2015-09-18
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA-17332363L00000X, 363LF0000X
MT104395363LF0000X
WAAP61073659363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily