Kim Yvette Jackson, LPN
NPI #1891477857 in Willoughby, Ohio
Provider Information
- NPI Number
- 1891477857
- Entity Type
- Individual
- Name
- Kim Yvette Jackson, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Aug 1, 2023
- Last Updated
- Aug 3, 2023
Practice Location
- Address
- 35000 KAISER CT
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-3382
- Phone
- (440) 269-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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