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

Mrs. Jacklyn Elaine Petersen, LPN

Individual provider Licensed Practical Nurse · NPI 1518178870

Mrs. Jacklyn Elaine Petersen, LPN is a Licensed Practical Nurse in Holland, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

1905 Perrysburg Holland Rd
Holland, OH 43528-9582
Phone: (419) 324-0949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 48 W Main St, Leipsic, OH 45856-1128 — (419) 943-3639

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.110467.MEDS (OH)
Licensed Practical Nurse Taxonomy 164W00000X · Licence PN-110467 (OH)

Record details

NPI number1518178870
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedMay 25, 2007
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

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