Jacob Holland, LPN - Licensed Practical Nurse in Kelso, WA

Jacob Holland, LPN is a Licensed Practical Nurse based in Kelso, Washington. Jacob Holland is licensed to practice in Washington (license number LP61294941) and his current practice location is 305 Pacific Ave S Ste C, Kelso, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 795-5008.

NPI number for Jacob Holland is 1891413308 and his current mailing address is 305 Pacific Ave S Ste C, Kelso, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891413308.

Contact Information

Jacob Holland, LPN
305 Pacific Ave S Ste C,
Kelso, WA 98626-1638
(360) 795-5008
Not Available



Provider's Profile

Full NameJacob Holland
GenderMale
SpecialityLicensed Practical Nurse
Location305 Pacific Ave S Ste C, Kelso, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891413308
  • Provider Enumeration Date: 08/19/2022
  • Last Update Date: 08/19/2022

Medical Identifiers

Medical identifiers for Jacob Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891413308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LP61294941 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Holland is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Holland, LPN
305 Pacific Ave S Ste C,
Kelso, WA 98626-1638

Ph: () -
Jacob Holland, LPN
305 Pacific Ave S Ste C,
Kelso, WA 98626-1638

Ph: (360) 795-5008

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› Verified 7 days ago


Licensed Practical Nurse Nurses in Kelso, WA

Taylor Williamson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 305 Pacific Ave S, Kelso, WA 98626
Phone: 360-425-5378    
Amy E Kyle,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626
Phone: 360-795-5008    
Mrs. Carrera Leigh Hobson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626
Phone: 360-644-1047    
Curtis Clell Whitney, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626
Phone: 603-425-5378    
Rebecca Leah Binion,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626
Phone: 360-425-5378    Fax: 360-425-5990
Elena V Khorosheva-brown, LPN, GEM-STONE THERA
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 330 Rollingwood Dr, Kelso, WA 98626
Phone: 503-442-8826    
Chrystal Sherwin, LP61292137; LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 305 Pacific Ave S, Kelso, WA 98626
Phone: 360-425-5378    

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