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

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

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