MRS. Willa Samette Jackson, LPN

NPI #1982996245 in Clinton, Ohio

Provider Information

NPI Number
1982996245
Entity Type
Individual
Name
MRS. Willa Samette Jackson, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 4, 2011
Last Updated
May 4, 2011

Practice Location

Address
3067 BRONCO DR
State
Ohio
ZIP Code
44216-9736
Phone
(330) 825-0388

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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