Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLENE MAE JAQUES, APN
Active Sole ProprietorCHARLENE MAE JAQUES, APN is a Nurse Practitioner healthcare provider located in FARMINGTON, Arkansas. NPI 1376373761 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · FARMINGTON, AR
Registration Details
- NPI Number
- 1376373761
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2024 (2.0364941875115 yrs)
- Last Updated
- Dec 2, 2024
- Licenses
-
229879 (AR)229879 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11112 SHUMATE CROSSING RDFARMINGTON, AR, 727308792Browse AR providers · Browse ZIP 72730
- Phone
- 4798569363
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.