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

Lanetta Jackson, LPN

Individual provider Homemaker · NPI 1417344664

Lanetta Jackson, LPN is a Homemaker in Lakewood, Ohio. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
Specialties on file
2
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

18915 Detroit Ext Apt 406
Lakewood, OH 44107-3234
Phone: (216) 703-4778
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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 2760411 (NY)
Homemaker Taxonomy 376J00000X

Record details

NPI number1417344664
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedApril 24, 2015
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address18915 Detroit Ext Apt 406, Lakewood, OH 44107-3234

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