MRS. JACKLYN ELAINE PETERSEN LPN
NPI 1518178870
Licensed Practical Nurse in Holland, OH
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
Specialties & Licenses
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.
Secondary Practice Location 1
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.
HOLLAND, OH 43528
HOLLAND, OH 43528
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.