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Jacob M Theriot, FNP-C
Family Nurse Practitioner in Lake Charles, Louisiana
NPI 1548871577

Jacob M Theriot is a Family Nurse Practitioner based in Dallas, LA and is specialized in Family. Jacob M Theriot practices in Lake Charles, LA and has the professional credentials of FNP-C. The NPI Number for Jacob M Theriot is 1548871577 and holds a License No. 210780 (Louisiana).

The current practice location address for Jacob M Theriot is 4345 Nelson Rd Ste 101, Lake Charles, LA and can be reached out via phone at 337-480-7942 and via fax at 337-480-7964.

Location: 4345 Nelson Rd Ste 101, Lake Charles, LA, 75312-2165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548871577
Provider Name
Jacob M Theriot
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
4345 Nelson Rd Ste 101, Lake Charles, LA, 75312-2165
Phone Number
337-480-7942
Fax Number
337-480-7964
Provider Enumeration Date
08/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3449382 05 LA
RN138165 01 LA RN
210780 01 LA CERTIFIED NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
4345 Nelson Rd Ste 101
City
Lake Charles
State
Louisiana
Zip
70605-4183
Phone Number
337-480-7942
Fax Number
337-480-7964
person
Provider Business Mailing Address Details
Address
4345 Nelson Rd Ste 101
City
Lake Charles
State
Louisiana
Zip
70605-4183
Phone Number
337-480-7942
Fax Number
337-480-7964
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
210780 (Louisiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
210780 (Louisiana)
Definition
Definition to come...
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