| Mrs Willa Samette Jackson, LPN | |
|
3067 Bronco Dr, Clinton, OH 44216-9736 | |
| (330) 825-0388 | |
| Not Available |
| Full Name | Mrs Willa Samette Jackson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3067 Bronco Dr, Clinton, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982996245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN097350 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Willa Samette Jackson, LPN 3067 Bronco Dr, Clinton, OH 44216-9736 Ph: (330) 825-0388 | Mrs Willa Samette Jackson, LPN 3067 Bronco Dr, Clinton, OH 44216-9736 Ph: (330) 825-0388 |
Joe Farris, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6694 Taylor Rd, Clinton, OH 44216 Phone: 330-854-0708 Fax: 234-678-6919 | |
Karen Gene Nitzel, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8177 Cleve Mass Rd Lot 30, Clinton, OH 44216 Phone: 330-573-8606 | |
Mark Andrew Bolois, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6694 Taylor Rd, Clinton, OH 44216 Phone: 330-825-5202 Fax: 234-678-6919 | |
Mrs. Elizabeth Rhoades, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 442 Comet Ln, Clinton, OH 44216 Phone: 330-882-5683 Fax: 330-882-5683 | |
Mrs. Mary Lynne Boss, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 449 E Comet Rd, Clinton, OH 44216 Phone: 330-882-4926 | |
Deborah Pamer, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6694 Taylor Rd, Clinton, OH 44216 Phone: 330-825-5202 |