Individual
JACOB R NICHOLSON II
Active
Individual
JACOB R NICHOLSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.389822
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0042452
OH
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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