Individual
JEZMINE MIZYED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
875 N DEARBORN ST STE 300, CHICAGO, IL 60610-7377
(708) 663-0611
Mailing address
633 W NORTH AVE APT 702, CHICAGO, IL 60610-0904
(708) 663-0611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041500433
IL
363LF0000X
Family Nurse Practitioner
Primary
95037956
CA
Other
Enumeration date
09/05/2024
Last updated
02/21/2026
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