MRS. WILLA SAMETTE JACKSON LPN NPI 1982996245

NPI Information

MRS. Willa Samette Jackson, LPN is a licensed practical nurse in Clinton, OH. The provider is a licensed practical nurse 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. MRS. Willa Samette Jackson, LPN NPI is 1982996245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3067 BRONCO DR
CLINTON, OH
ZIP 44216-736
Phone: (330) 825-0388

The enumeration date for this NPI number is 5/4/2011 and was last updated on 5/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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