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

Jaclyn E Stull

Individual provider Registered Nurse · NPI 1609744895

Jaclyn E Stull is a Nurse Practitioner in Akron, Ohio. Qualified in 2025, 1 year ago. Practices with Summa Physicians LLC, a 688-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

55 Arch St Ste 2A
Akron, OH 44304-1424
Phone: (330) 375-9617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0040538 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.418203 (OH)

Record details

NPI number1609744895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 28, 2025
Mailing address10265 Boston Ave Nw, North Canton, OH 44720-4425

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Summa Physicians Llc — 688 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Akron