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

Jacob R Nicholson II

Individual provider Critical Care Medicine Registered Nurse · NPI 1407781073

Jacob R Nicholson II is a Nurse Practitioner in Akron, Ohio. Licensed in Ohio. Registered with an NPI since 2026.

Licensed in
OH
In the registry since
2026
Specialties on file
2

Practice location Address checks out

75 Arch St Ste 201
Akron, OH 44304-1431
Phone: (330) 375-7055
Fax: (234) 312-2301
Show map & directions

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.0042452 (OH)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN.389822 (OH)

Record details

NPI number1407781073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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