Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARMELLA JACKSON
ActiveCARMELLA JACKSON is a Family Nurse Practitioner healthcare provider located in MATTESON, Illinois. NPI 1336782200 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · MATTESON, IL
Registration Details
- NPI Number
- 1336782200
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2019 (6.6281512563118 yrs)
- Last Updated
- Oct 23, 2019
- License
-
209020232 (IL)
Practice Information
- Address
-
916 SCHOOL AVEMATTESON, IL, 604431832Browse IL providers · Browse ZIP 60443
- Phone
- 7739411587
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in MATTESON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. THERESE MARIE MELANIPHY | APN FNP-BC | 1659682359 |
| TIFFANY N. PERDUE | FNP-BC | 1538564448 |
| MRS. HEREDESHEE LATRICE TAYLOR | FNP | 1669826657 |
| LARETTA MONIEK WILEY | FNP-BC, PMHNP-BC | 1952885949 |
| DAJAUNA F YOUNG | FNP | 1699330910 |
| MRS. UKACHI O. NWANKPA | FNP | 1134776149 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.