IndividualActive
Ashley Jackson
NPI 1376434878 · Family Nurse Practitioner · Willowbrook, IL
Provider details
- NPI number
- 1376434878
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.032410 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
40 75th St
Willowbrook, IL 60527-2325
Phone: (312) 219-4216
Approximate (ZIP-level) locationGet directions
Mailing address
18807 Oakwood Ave
Country Club Hills, IL 60478-5665
Registry dates
- Enumerated
- 2025-07-12
- Last updated
- 2025-08-10
- Certified
- 2025-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.