Charlene Mae Jaques, APN
NPI #1376373761 in Farmington, Arkansas
Provider Information
- NPI Number
- 1376373761
- Entity Type
- Individual
- Name
- Charlene Mae Jaques, APN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- APN
- Enumeration Date
- Aug 1, 2024
- Last Updated
- Dec 2, 2024
Practice Location
- Address
- 11112 SHUMATE CROSSING RD
- City
- Farmington
- State
- Arkansas
- ZIP Code
- 72730-8792
- Phone
- (479) 856-9363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Nurse Practitioner |
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