MRS. JACKLYN ELAINE PETERSEN LPN
NPI 1518178870
Licensed Practical Nurse in Holland, OH

Active since May 25, 2007
1905 PERRYSBURG HOLLAND RD, HOLLAND, OH 43528(419) 324-0949 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jacklyn Elaine Petersen Lpn NPPES

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

MRS. JACKLYN ELAINE PETERSEN LPN (NPI 1518178870) is an individual licensed practical nurse in Holland, Ohio, licensed in Ohio (LPN.110467.MEDS) and active in the NPI registry since May 2007. She maintains a secondary practice location in Leipsic.

NPPES Registry Identity

NPI1518178870
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JACKLYN ELAINE PETERSENCredential: LPN
Location Address1905 PERRYSBURG HOLLAND RDHolland, OH 43528-9582
Mailing Address1905 Perrysburg Holland RdHolland, OH 43528-9582 · (419) 324-0949
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1518178870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses Licensed in OH · LPN.110467.MEDS Licensed in OH · PN-110467
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1905 PERRYSBURG HOLLAND RD, Holland, OH 43528

Secondary Practice Location 1

Location 148 W Main StLeipsic, OH 45856-1128 · Phone (419) 943-3639

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1905 PERRYSBURG HOLLAND RD
HOLLAND, OH 43528
Case Manager/Care Coordinator
1905 PERRYSBURG HOLLAND RD
HOLLAND, OH 43528
Residential Treatment Facility, Emotionally Disturbed Children
1905 PERRYSBURG HOLLAND RD
HOLLAND, OH 43528
Clinic/Center (Adolescent and Children Mental Health)
1905 PERRYSBURG HOLLAND RD
HOLLAND, OH 43528
Licensed Practical Nurse
1905 PERRYSBURG HOLLAND RD
HOLLAND, OH 43528

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 Jacklyn Petersen's NPI number?

The NPI number for Jacklyn Petersen is 1518178870. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Jacklyn Petersen located?

Jacklyn Petersen practices at 1905 Perrysburg Holland Rd, Holland, OH 43528. The listed phone number is (419) 324-0949.

What is Jacklyn Petersen's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacklyn Petersen was last updated on June 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.