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

Jacob Theriault, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083416655

Jacob Theriault, DO is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

653 W 8th St # L18
Jacksonville, FL 32209-6511
Phone: (904) 244-3094
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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

Record details

NPI number1083416655
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address653 W 8th St # L18, Jacksonville, FL 32209-6511

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