Individual provider · Type 1 NPI

Jacob Nicholson, N.P.

Family Nurse Practitioner · Salem, OR

NPI number 1033516372 Active

Practice location

890 Oak St SE
Salem, OR 97301-3905

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X200842785RN (OR)
Family Nurse Practitioner Primary 363LF0000X201408272NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1033516372

Jacob Nicholson, N.P.'s National Provider Identifier is 1033516372, issued on Dec 2, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salem, OR. The record was last updated on Dec 2, 2014.