KIM JACKSON, LPN

Licensed Practical Nurse

Active Individual
NPI: 1891477857

Practice Address

35000 KAISER CT
Willoughby, OH 44094

Phone: (440) 269-4600

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes LPN.085267 (OH)

Frequently Asked Questions

NPI 1891477857 is the National Provider Identifier for KIM JACKSON, LPN, a Licensed Practical Nurse provider located in Willoughby, OH. This NPI was enumerated on August 1, 2023.
KIM JACKSON, LPN practices at 35000 KAISER CT, Willoughby, OH 44094.

Quick Facts

NPI
1891477857
Type
Individual
Enumerated
Aug 1, 2023
Last Updated
Aug 3, 2023

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