Individual provider · Type 1 NPI

Jasmyne Carroll

Nurse Practitioner · Willowbrook, IL

NPI number 1023914280 Active

Practice location

40 75th St
Willowbrook, IL 60527-2325

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X041515887 (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.