Individual provider · Type 1 NPI
Jasmyne Carroll
Nurse Practitioner · Willowbrook, IL
Practice location
40 75th St
Willowbrook, IL 60527-2325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 041515887 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1023914280
Jasmyne Carroll's National Provider Identifier is 1023914280, issued on Oct 15, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Willowbrook, IL. The record was last updated on Oct 15, 2026.