Individual provider · Type 1 NPI

Jacob Ouellette

Student in an Organized Health Care Education/Training Program · Newark, DE

NPI number 1205438652 Active

Practice location

631 S College Ave
Newark, DE 19716-2010

Call (302) 831-4016 Map

Mailing address

39 Alice Ln
Amston, CT 06231-1601

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205438652

Jacob Ouellette's National Provider Identifier is 1205438652, issued on Nov 11, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, DE. The record was last updated on Nov 11, 2020.