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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAMIE LEE THERIAULT, APRN

Active Sole Proprietor

MR. JAMIE LEE THERIAULT, APRN is a Nurse Practitioner healthcare provider located in WESTBROOK, Maine. NPI 1063996809 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · WESTBROOK, ME

Registration Details

NPI Number
1063996809
Provider Type
Individual
Gender
Male
NPI Issued
Sep 18, 2018 (7.883097795523 yrs)
Last Updated
Feb 20, 2025
Licenses
ARNP9376950 (FL)
CNP181272 (ME)
Sole Proprietor
Yes

Practice Information

Address
11 ROCK ROW STE 120
WESTBROOK, ME, 040924877
Browse ME providers · Browse ZIP 04092
Phone
2073033300
Fax
2072502139
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in WESTBROOK, ME

Name Credential NPI
MARY LIBBY NP 1366486383
MR. RODDY A SHERER NP-C 1588852925
AMANDA ELIZABETH MAGNOLI ANP-BC 1689945420
MELISSA TIMBERLAKE NP 1487070413
MRS. EMILY LONGACRE THOMPSON FNP-C 1639604440
JENNIFER ANNE CALDWELL MSN, RN, AGPCNP-BC 1861922742
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.