Jacob M Theriot
FNP-C | Nurse Practitioner
4345 Nelson Rd Ste 101, Lake Charles
Louisiana, 70605-4183
337-480-7942
May or may not accept Medicare Nurse Anesthetist in Lake Charles, Louisiana.Jacob M Theriot is a Lake Charles, Louisiana based nurse practitioner. Active license number of Jacob M Theriot is 210780 for Family in Louisiana. His current practice location is 4345 Nelson Rd Ste 101, Lake Charles. Patients can reach him at 337-480-7942 or can fax him at 337-480-7964. Jacob M Theriot is FNP-C and his NPI number (Unique professional ID assigned by NPPES) is 1548871577.
Jacob M Theriot has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jacob M Theriot speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jacob M Theriot |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP-C |
| Practice Address: | 4345 Nelson Rd Ste 101, Lake Charles, Louisiana, 70605-4183 |
| Phone: | 337-480-7942 |
| Fax: | 337-480-7964 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1548871577 |
| NPI Enumeration Date: | 13 Aug, 2020 |
| NPI Last Update On: | 26 Sep, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob M Theriot are as mentioned below.
| License Number | Specialization | State | Status | |
| 210780 | Family | Louisiana | Primary | |
| 210780 | Nurse Practitioner | Louisiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacob M Theriot such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3449382 | Medicaid | Louisiana | |
| RN138165 | Other | Louisiana | RN |
| 210780 | Other | Louisiana | CERTIFIED NURSE PRACTITIONER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacob M Theriot Po Box 122165 Dept 2165, Dallas, Texas |
| Zip: | 75312-2165 |
| Phone Number: | 337-494-2921 |
| Fax Number: | 337-494-6523 |
Patients can reach Jacob M Theriot at
4345 Nelson Rd Ste 101, Lake Charles, Louisiana or can
call to book an appointment on 337-480-7942.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.