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KIM YVETTE JACKSON LPN
NPI 1891477857
Licensed Practical Nurse in Willoughby, OH

Active since August 01, 2023
35000 KAISER CT, WILLOUGHBY, OH 44094(440) 269-4600 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Yvette Jackson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM YVETTE JACKSON LPN (NPI 1891477857) is an individual licensed practical nurse in Willoughby, Ohio, licensed in Ohio (LPN.085267) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1891477857
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIM YVETTE JACKSONCredential: LPN
Location Address35000 KAISER CTWilloughby, OH 44094-3382
Mailing Address35000 Kaiser CtWilloughby, OH 44094-3382 · (440) 269-4600
Phone(440) 269-4600
Sole ProprietorNo
Enumeration DateAugust 1, 2023
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1891477857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · LPN.085267
Definition
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.
35000 KAISER CT, Willoughby, OH 44094
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDITA STEKO JONES LISW
Social Worker
35000 KAISER CT
WILLOUGHBY, OH 44094
Lake County (440) 269-4600
PERRY SHOCKEY RN
Registered Nurse
35000 KAISER CT
WILLOUGHBY, OH 44094
Lake County (216) 246-0590
PAUL ANTHONY TONTI
Licensed Practical Nurse
35000 KAISER CT
WILLOUGHBY, OH 44094
Lake County (440) 269-3800
KATHRYN ELIZABETH CARKHUFF MS, RDN, LD, CDCES
Dietitian, Registered
35000 KAISER CT
WILLOUGHBY, OH 44094
Lake County (216) 302-9924
BRITTNEY COPEN RN
Registered Nurse
35000 KAISER CT
WILLOUGHBY, OH 44094
Lake County (440) 269-4600
MR. JAMES CHRISTIANSEN RN
Registered Nurse (Case Management)
35000 KAISER CT
WILLOUGHBY, OH 44094
Lake County (440) 269-4600
MARIA C PETTY NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
35000 KAISER CT
WILLOUGHBY, OH 44094
Lake County (440) 269-4600
AMANDA LOUISE WEYBRECHT
Licensed Practical Nurse
35000 KAISER CT
WILLOUGHBY, OH 44094
Lake County (440) 269-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Jackson's NPI number?

The NPI number for Kim Jackson is 1891477857. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Kim Jackson located?

Kim Jackson practices at 35000 Kaiser Ct, Willoughby, OH 44094. The listed phone number is (440) 269-4600.

What is Kim Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kim Jackson was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.