Individual provider · Type 1 NPI

Lanetta Jackson, LPN

Licensed Practical Nurse · Lakewood, OH

NPI number 1417344664 Active

Practice location

18915 Detroit Ext Apt 406
Lakewood, OH 44107-3234

Call (216) 703-4778 Map

Specialties and licenses

TaxonomyCodeLicense
Homemaker 376J00000XNone listed
Licensed Practical Nurse Primary 164W00000X2760411 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Other licensed practical nurse providers in Lakewood

See all in Lakewood →

About NPI 1417344664

Lanetta Jackson, LPN's National Provider Identifier is 1417344664, issued on Apr 24, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lakewood, OH. The record was last updated on Jun 16, 2025.