Individual provider · Type 1 NPI

Jaquana Simone Williamson

Attendant Care Provider · Las Vegas, NV

NPI number 1992404214 Active

Practice location

2001 S Jones Blvd Ste E3
Las Vegas, NV 89146-3165

Fax (702) 997-7552

Mailing address

9225 W Charleston Blvd Apt 2198
Las Vegas, NV 89117-7064

Specialties and licenses

TaxonomyCodeLicense
Chore Provider 372500000XNone listed
Adult Companion 372600000XNone listed
Personal Care Attendant 3747P1801XNone listed
Homemaker 376J00000XNone listed
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1992404214

Jaquana Simone Williamson's National Provider Identifier is 1992404214, issued on Feb 24, 2023. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 24, 2023.