Provider Demographics
NPI:1912896937
Name:BARAJAS, JASMIN (DNP)
Entity type:Individual
Prefix:DR
First Name:JASMIN
Middle Name:
Last Name:BARAJAS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 S 61ST CT
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-1625
Mailing Address - Country:US
Mailing Address - Phone:708-663-2515
Mailing Address - Fax:
Practice Address - Street 1:1814 S 61ST CT
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-1625
Practice Address - Country:US
Practice Address - Phone:708-663-2515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209031586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily