Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Ouellette

Individual provider Athletic Trainer · NPI 1205438652

Jacob Ouellette is an Athletic Trainer in Newark, Delaware. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

631 S College Ave
Newark, DE 19716-2010
Phone: (302) 831-4016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1205438652
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESNovember 11, 2020
Certification dateNovember 10, 2020
Mailing address39 Alice Ln, Amston, CT 06231-1601

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