Charlie R Jacques, APRN

NPI #1336162890 in St George, Utah

Provider Information

NPI Number
1336162890
Entity Type
Individual
Name
Charlie R Jacques, APRN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
APRN
Enumeration Date
Jul 25, 2006
Last Updated
Jun 26, 2008

Practice Location

Address
1380 E MEDICAL CENTER DR
Address 2
SUITE #1400
State
Utah
ZIP Code
84790-2123
Phone
(435) 251-2600

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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