Individual provider · Type 1 NPI

Jacob G. Thoele, AGACNP-C

Nurse Practitioner · Tyler, TX

NPI number 1003398157 Active

Practice location

910 E Houston St Ste 550
Tyler, TX 75702-8366

Fax (903) 606-1218

Mailing address

PO Box 846098
Dallas, TX 75284-6098

Other practice locations

  • 703 S Fleishel Ave Ste 4000, Tyler, TX 75701-2015 · (903) 606-7000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP137474 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003398157

Jacob G. Thoele, AGACNP-C's National Provider Identifier is 1003398157, issued on Sep 5, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Dec 30, 2025.