Provider Demographics
NPI:1720724883
Name:CASHNER, JAMIE MARIE (NC 60382207)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:MARIE
Last Name:CASHNER
Suffix:
Gender:F
Credentials:NC 60382207
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 32ND AVE APT 47
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-1977
Mailing Address - Country:US
Mailing Address - Phone:813-965-1756
Mailing Address - Fax:
Practice Address - Street 1:825 32ND AVE APT 98
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-1975
Practice Address - Country:US
Practice Address - Phone:813-965-1756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60382207376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide