Individual
MS. JOELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
840 W IRVING PARK RD, SUITE 301, CHICAGO, IL 60613-3011
(888) 660-4425
Mailing address
840 W IRVING PARK RD, SUITE 301, CHICAGO, IL 60613-3011
(888) 660-4425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013571
IL
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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