Provider Demographics
NPI:1134089071
Name:JAMIESON-GARCIA, KASHIAH YONNE
Entity type:Individual
Prefix:
First Name:KASHIAH
Middle Name:YONNE
Last Name:JAMIESON-GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 NEVADA STATE DRIVE
Mailing Address - Street 2:1-124
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1310 NEVADA STATE DRIVE
Practice Address - Street 2:1-124
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002
Practice Address - Country:US
Practice Address - Phone:725-274-0618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant