JACEY CREDO RN
NPI 1417619313
Registered Nurse in Westmont, IL

Q: What is Jacey Credo's NPI number?

The NPI number for Jacey Credo is 1417619313. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Q: What is Jacey Credo's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacey Credo was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 07, 2021

6501 S CASS AVE, WESTMONT, IL 60559(630) 960-2026(630) 515-3442 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacey Credo Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACEY CREDO RN (NPI 1417619313) is an individual registered nurse in Westmont, Illinois, licensed in Illinois (041483557) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1417619313

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameJACEY CREDOCredential: RN

Location Address6501 S CASS AVEWestmont, IL 60559-3200

Mailing Address1524 Harvest LnWestmont, IL 60559-3470 · (312) 998-9461

Phone(630) 960-2026

Fax(630) 515-3442

Sole ProprietorYes

Enumeration DateOctober 7, 2021

NPPES CertifiedOctober 7, 2021

✔ NPI 1417619313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in IL · 041483557

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

6501 S CASS AVE, Westmont, IL 60559

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTMONT CONVALESCENT CENTER

Custodial Care Facility (Adult Care Home)