Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Yvette Jackson, LPN

Individual provider Licensed Practical Nurse · NPI 1891477857

Kim Yvette Jackson, LPN is a Licensed Practical Nurse in Willoughby, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

35000 Kaiser Ct
Willoughby, OH 44094-3382
Phone: (440) 269-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.085267 (OH)

Record details

NPI number1891477857
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

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