Verification of Licensure

Oregon Seal

Oregon State Board of Nursing

17938 SW Upper Boones Ferry Road
Portland, Oregon 97224-7012
Fax: 971-673-0684
E-Mail: oregon.bn.info@osbn.oregon.gov

 

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Information current as of: 09/25/2021
Query Time: 9/25/2021 12:02:41 AM
 
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This site is a primary source for verification credentials.

Licensee: Nicholson, Jacob Matthias
Gender: Male
City: Salem
State: OR

LICENSES

License NumberTypeLicense IssuedCurrent StatusDate Last RenewedLicense Expiration Date
200842785RNRN09/17/2008Active06/30/202109/26/2023
201408272NP-PPNP-PP Family11/29/2014Active07/01/202109/26/2023
Click here for explanation of License Status

RNFA REGISTRY

TypeSchoolGraduation DateRenewal Date
CNORNational Institute of First Assisting Inc01/14/201512/31/2023



BOARD ORDERS

No disciplinary actions on record.
Click here for explanation of Order Types

NATIONAL CERTIFICATION

Certifying BodyAPRN RoleCertification NumberCertification ExpiresLast Verified
AANPFamilyF101461610/19/202409/06/2019

Show License Abbreviation Key

National Certifying Body
AACN - American Association of Critical Care Nurses
AANP - American Association of Nurse Practitioner Certification Program
AMCB - American Midwifery Certification Board
ANCC - American Nurses Credentialing Center
NCC - National Certification Corporation
PNCB - Pediatric Nursing Certification Board
NBCRNA - National Board on Certification and Recertification of Nurse Anesthetist

OSBN Discipline -Copies of public documents associated with OSBN disciplinary actions taken against a specific licensee after August 2010 are available online.  Copies of disciplinary actions prior to that date may be obtained by written request. You may e-mail your request to osbn.records@osbn.oregon.gov. Or, you may FAX your request, addressed to OSBN Record Requests to OSBN Records, to 971-673-0684. Please include the licensee's name and license number (if available), along with your name, company (if applicable), mailing address, phone number and FAX number or e-mail address.