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

Jordan Theroux

Individual provider Physician Assistant · NPI 1679403273

Jordan Theroux is a Physician Assistant in Manchester, Connecticut. Works from 3 locations. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

71 Haynes St
Manchester, CT 06040-4131
Phone: (860) 646-1222
Show map & directions

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

Additional practice locations (2)

  • 435 Lewis Ave, Meriden, CT 06451-2101 — (203) 694-8200
  • 81 Meriden Ave, Southington, CT 06489-3268 — (860) 276-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1679403273
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2026
Last updated in NPPESMay 23, 2026
Certification dateMay 23, 2026
Mailing address9 Rachel Ann Ct, Prospect, CT 06712-1570

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