Individual
JASMINE ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
839 W 79TH ST, CHICAGO, IL 60620-2699
(312) 996-2000
Mailing address
839 W 79TH ST, CHICAGO, IL 60620-2699
(312) 996-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209021100
IL
363LF0000X
Family Nurse Practitioner
28226058A
IN
Other
Enumeration date
11/24/2020
Last updated
03/13/2025
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