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JACOB OUELLETTE
NPI 1205438652
Student in an Organized Health Care Education/Training Program in Newark, DE

Active since November 11, 2020
631 S COLLEGE AVE, NEWARK, DE 19716(302) 831-4016 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Ouellette NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB OUELLETTE (NPI 1205438652) is an individual student in an organized health care education/training program in Newark, Delaware and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1205438652
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB OUELLETTE
Location Address631 S COLLEGE AVENewark, DE 19716-2010
Mailing Address39 Alice LnAmston, CT 06231-1601
Phone(302) 831-4016
Sole ProprietorNo
Enumeration DateNovember 11, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1205438652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
631 S COLLEGE AVE, Newark, DE 19716
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN JOSEPH SMITH ATC
Specialist/Technologist (Athletic Trainer)
631 S COLLEGE AVE, 142 BCC TRAINING ROOM
NEWARK, DE 19716
New Castle County (302) 738-2766
SHAWN HANLON A.T
Specialist/Technologist (Athletic Trainer)
631 S COLLEGE AVE
NEWARK, DE 19716
New Castle County (302) 831-2196
PAUL LOWRY ATC, M.ED
Specialist/Technologist (Athletic Trainer)
631 S COLLEGE AVE, BOB CARPENTER CENTER
NEWARK, DE 19716
New Castle County (302) 831-2256
DANIEL WATSON ATC
Specialist/Technologist (Athletic Trainer)
631 S COLLEGE AVE
NEWARK, DE 19716
New Castle County (302) 831-7228
MR. PATRICK JOHN FAVA JR. ATC, LAT
Specialist/Technologist (Athletic Trainer)
631 S COLLEGE AVE, ATHLETIC TRAINING ROOM
NEWARK, DE 19716
New Castle County (302) 831-8857
SARAH ROGER ATC
Specialist/Technologist (Athletic Trainer)
631 S COLLEGE AVE
NEWARK, DE 19716
New Castle County (802) 522-8688
MELANEE JOHNSON MS, ATC
Specialist/Technologist (Athletic Trainer)
631 S COLLEGE AVE
NEWARK, DE 19716
New Castle County (215) 760-5351
BRANDON DESANTIS MS, ATC
Specialist/Technologist (Athletic Trainer)
631 S COLLEGE AVE
NEWARK, DE 19716
New Castle County (302) 415-9783

Frequently Asked Questions

What is Jacob Ouellette's NPI number?

The NPI number assigned to this healthcare provider is 1205438652, enumerated as an "individual" on November 11, 2020.

Where is the provider located?

The provider is located at 631 S COLLEGE AVE NEWARK, DE 19716 and the phone number is (302) 831-4016.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.