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

Willow Lotus Jackson, RN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396668588

Willow Lotus Jackson, RN is a Student in an Organized Health Care Education/Training Program in Orange, Connecticut. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

400 W Campus Dr
Orange, CT 06477-3646
Phone: (203) 785-6437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1396668588
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address120 Nash St, New Haven, CT 06511-2644

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