Willa Samette Jackson, LPN
Licensed Practical Nurse · Clinton, OH
Practice location
3067 Bronco DrClinton, OH 44216-9736
- Phone
- (330) 825-0388
NPI record
- NPI
- 1982996245
- Entity type
- Individual (Type 1)
- Enumeration date
- May 4, 2011
- Last updated
- May 4, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
PN097350 | OH |
About Willa Jackson
Willa Samette Jackson, LPN is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 3067 Bronco Dr, Clinton, OH 44216-9736. The NPI number 1982996245 was assigned on May 4, 2011 and the record was last updated on May 4, 2011.
Willa Jackson lists a license in the registry: #PN097350 (OH) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Willa Samette Jackson, LPN?
The NPI number is 1982996245.
What is the phone number of Willa Jackson?
The phone number listed for the practice location is (330) 825-0388.
Where is Willa Jackson located?
3067 Bronco Dr, Clinton, OH 44216-9736.
What is the taxonomy code for Willa Jackson?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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