Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Holland, LPN

Individual provider Licensed Practical Nurse · NPI 1891413308

Jacob Holland, LPN is a Licensed Practical Nurse in Kelso, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

305 Pacific Ave S Ste C
Kelso, WA 98626-1638
Phone: (360) 795-5008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP61294941 (WA)

Record details

NPI number1891413308
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022

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