Jasmyne Carroll
Nurse Practitioner in Willowbrook, IL. Individual provider (NPI-1).
NPI number1023914280
StatusActive
Last updated in NPPESOct 15, 2026
Details
- NPI
- 1023914280
- Entity type
- Individual (NPI-1)
- Name
- Jasmyne Carroll
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2026
- Certification date
- Oct 15, 2026
- Last updated
- Oct 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 041515887 | IL | Yes |
Practice location
40 75th StWillowbrook, IL 60527-2325
Phone 630-581-5372
Mailing address
40 75th StWillowbrook, IL 60527-2325
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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