Healthcare Provider Details

I. General information

NPI: 1285572578
Provider Name (Legal Business Name): JASMINE DOBBS RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6748 W 111TH ST
WORTH IL
60482-1912
US

IV. Provider business mailing address

16638 S SUN MEADOW DR
LOCKPORT IL
60441-5076
US

V. Phone/Fax

Practice location:
  • Phone: 708-361-9701
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.035283
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: