Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACEY CREDO, RN
Active Sole ProprietorJACEY CREDO, RN is a Registered Nurse healthcare provider located in WESTMONT, Illinois. NPI 1417619313 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · WESTMONT, IL
Registration Details
- NPI Number
- 1417619313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2021 (4.6663395398073 yrs)
- Last Updated
- Oct 7, 2021
- License
-
041483557 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6501 S CASS AVEWESTMONT, IL, 605593200Browse IL providers · Browse ZIP 60559
- Phone
- 6309602026
- Fax
- 6305153442
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in WESTMONT, IL
| Name | Credential | NPI |
|---|---|---|
| LANCE PORFILIO | RN | 1366713273 |
| DEBRA E. GILLESPIE | RN | 1417347378 |
| DANIELLE ALLEN | — | 1609480052 |
| ASHLEY DAMIAN | BSN | 1083215925 |
| ANNA A AYALA | RN | 1598354185 |
| MRS. NICOLETTE MARIE HEARNDEN | RN | 1013682632 |
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.