Individual provider · Type 1 NPI

Willa Samette Jackson, LPN

Licensed Practical Nurse · Clinton, OH

NPI number 1982996245 Active

Practice location

3067 Bronco Dr
Clinton, OH 44216-9736

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN097350 (OH)

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.

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About NPI 1982996245

Willa Samette Jackson, LPN's National Provider Identifier is 1982996245, issued on May 4, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Clinton, OH. The record was last updated on May 4, 2011.