MRS. HOLLY PETERSON
NPI 1053620666
Homemaker in Jackson, MI

Q: What is Holly Peterson's NPI number?

The NPI number for Holly Peterson is 1053620666. It was assigned to this individual provider in the NPPES registry on September 30, 2010.

Q: What is Holly Peterson's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Peterson was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 30, 2010

1107 PARK RD, JACKSON, MI 49203(517) 787-7907 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Holly Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HOLLY PETERSON (NPI 1053620666) is an individual homemaker provider in Jackson, Michigan and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1053620666

Entity TypeIndividualFemale

Primary Taxonomy376J00000X

Provider Legal NameMRS. HOLLY PETERSON

Location Address1107 PARK RDJackson, MI 49203-5066

Mailing Address1107 Park RdJackson, MI 49203-5066 · (517) 787-7907

Phone(517) 787-7907

Sole ProprietorYes

Enumeration DateSeptember 30, 2010

✔ NPI 1053620666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers

Taxonomy Code376J00000X

Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

1107 PARK RD, Jackson, MI 49203

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Peterson's NPI number?

The NPI number for Holly Peterson is 1053620666. It was assigned to this individual provider in the NPPES registry on September 30, 2010.

Where is Holly Peterson located?

Holly Peterson practices at 1107 Park Rd, Jackson, MI 49203. The listed phone number is (517) 787-7907.

What is Holly Peterson's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Holly Peterson was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.