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

Individual provider Licensed Practical Nurse · NPI 1982996245

Mrs. Willa Samette Jackson, LPN is a Licensed Practical Nurse in Clinton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2011
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

3067 Bronco Dr
Clinton, OH 44216-9736
Phone: (330) 825-0388
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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 PN097350 (OH)

Record details

NPI number1982996245
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedMay 4, 2011
Last updated in NPPESMay 4, 2011
Mailing address3067 Bronco Dr, Clinton, OH 44216-9736

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