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

Mr. Jamie Lee Theriault, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1063996809

Mr. Jamie Lee Theriault, APRN is a Nurse Practitioner in Westbrook, Maine. Graduated from Nova Southeastern Univ College of Dental Medicine in 2018, 8 years ago. Practices with Maine Center for Cancer Medicine and Blood Disorders PA, a 69-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and Maine.

Years since qualifying
8
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
FL, ME
In the registry since
2018
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

11 Rock Row Ste 120
Westbrook, ME 04092-4877
Phone: (207) 303-3300
Fax: (207) 250-2139
Show map & directions

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

Additional practice locations (3)

  • 2 Independence Dr, Kennebunk, ME 04043-6078 — (207) 303-3300
  • 105 Topsham Fair Mall Rd Unit 1, Topsham, ME 04086-1773 — (207) 303-3300
  • 15 Rock Row Ste 110, Westbrook, ME 04092-4877 — (207) 303-3300

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP181272 (ME)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence ARNP9376950 (FL)

Record details

NPI number1063996809
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 18, 2018
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2018 (8 years in practice)
Group practice Maine Center For Cancer Medicine And Blood Disorders Pa — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount