Individual
MS. JASMINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9551 171ST ST, TINLEY PARK, IL 60487-6109
(708) 873-0062
Mailing address
9551 171ST ST, TINLEY PARK, IL 60487-6109
(708) 873-0062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026093
IL
Other
Enumeration date
10/10/2022
Last updated
03/15/2023
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