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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACKLYN ELAINE PETERSEN, LPN

Active Sole Proprietor

MRS. JACKLYN ELAINE PETERSEN, LPN is a Licensed Practical Nurse healthcare provider located in HOLLAND, Ohio. NPI 1518178870 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · HOLLAND, OH

Registration Details

NPI Number
1518178870
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2007 (19.213383751414 yrs)
Last Updated
Jun 9, 2025
Licenses
PN-110467 (OH)
LPN.110467.MEDS (OH)
Sole Proprietor
Yes

Practice Information

Address
1905 PERRYSBURG HOLLAND RD
HOLLAND, OH, 435289582
Browse OH providers · Browse ZIP 43528
Phone
4193240949
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in HOLLAND, OH

Name Credential NPI
LAJUAN A. ROBINSON LPN 1790907624
CHERYL LYNN ROBINSON LPN 1023220704
MIEA JOVANNI ELISE ROBINSON LPN 1528258860
FELICIA ALEXANDER 1265668479
MRS. DOMINICK DANIALE WEST-KIMMONS LPN 1003124579
MRS. CONSUELO MARTIN LPN 1952693772
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.