Individual
JASMIN ROSE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(224) 425-1167
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(224) 425-1167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.409681
IL
363L00000X
Nurse Practitioner
Primary
209.024075
IL
363LF0000X
Family Nurse Practitioner
209.024075
IL
Other
Enumeration date
09/19/2020
Last updated
07/14/2022
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