Provider Demographics
NPI:1073764080
Name:JACOBS, NIKKI J (NP-C, APRN, BC, MS,)
Entity Type:Individual
Prefix:MRS
First Name:NIKKI
Middle Name:J
Last Name:JACOBS
Suffix:
Gender:F
Credentials:NP-C, APRN, BC, MS,
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:J
Other - Last Name:GUINTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-4854
Mailing Address - Fax:
Practice Address - Street 1:1581 DODD DR FL 4
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1257
Practice Address - Country:US
Practice Address - Phone:614-293-4854
Practice Address - Fax:614-293-8102
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.10324363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner