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JACOB HOLLAND LPN
NPI 1891413308
Licensed Practical Nurse in Kelso, WA

Active since August 19, 2022
305 PACIFIC AVE S STE C, KELSO, WA 98626(360) 795-5008 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Holland Lpn NPPES

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

JACOB HOLLAND LPN (NPI 1891413308) is an individual licensed practical nurse in Kelso, Washington, licensed in Washington (LP61294941) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1891413308
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJACOB HOLLANDCredential: LPN
Location Address305 PACIFIC AVE S STE CKelso, WA 98626-1638
Mailing Address305 Pacific Ave S Ste CKelso, WA 98626-1638
Phone(360) 795-5008
Sole ProprietorNo
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1891413308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LP61294941
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.
305 PACIFIC AVE S STE C, Kelso, WA 98626
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Other Providers at the Same Location NPPES 20

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

MR. THOMAS RICHARD MCBRIDE
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 425-5378
ROSALIE WRIGHT LPN/LVN
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 425-5378
DEBORAH ANN HARDEN
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 425-5378
AIMEE D JOHNSON LPN
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 808-1916
AMY E KYLE
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 795-5008
MRS. CARRERA LEIGH HOBSON
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 644-1047
CURTIS CLELL WHITNEY LPN
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (603) 425-5378
MRS. MINDY LORRAINE TAITANO
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 356-7775

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 Jacob Holland's NPI number?

The NPI number for Jacob Holland is 1891413308. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Where is Jacob Holland located?

Jacob Holland practices at 305 Pacific Ave S Ste C, Kelso, WA 98626. The listed phone number is (360) 795-5008.

What is Jacob Holland'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 Jacob Holland was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.