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MRS. WILLA SAMETTE JACKSON LPN
NPI 1982996245
Licensed Practical Nurse in Clinton, OH

Active since May 04, 2011
3067 BRONCO DR, CLINTON, OH 44216(330) 825-0388 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Willa Samette Jackson Lpn NPPES

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

MRS. WILLA SAMETTE JACKSON LPN (NPI 1982996245) is an individual licensed practical nurse in Clinton, Ohio, licensed in Ohio (PN097350) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1982996245
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. WILLA SAMETTE JACKSONCredential: LPN
Location Address3067 BRONCO DRClinton, OH 44216-9736
Mailing Address3067 Bronco DrClinton, OH 44216-9736 · (330) 825-0388
Phone(330) 825-0388
Sole ProprietorYes
Enumeration DateMay 4, 2011
✔ NPI 1982996245 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 · PN097350
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.
3067 BRONCO DR, Clinton, OH 44216
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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 Willa Jackson's NPI number?

The NPI number for Willa Jackson is 1982996245. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Willa Jackson located?

Willa Jackson practices at 3067 Bronco Dr, Clinton, OH 44216. The listed phone number is (330) 825-0388.

What is Willa 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 Willa Jackson was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.