Healthcare Provider Details

I. General information

NPI: 1366346116
Provider Name (Legal Business Name): MRS. JACQUELINE PRECKLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 N HOLLAND SYLVANIA RD
TOLEDO OH
43615-1008
US

IV. Provider business mailing address

1733 ASHFIELD DR
MAUMEE OH
43537-2343
US

V. Phone/Fax

Practice location:
  • Phone: 419-824-8614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number360080
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: