Organization
ELEVATION FAMILY HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE MAE JAQUES APNP (OWNER/EMPLOYEE)
(479) 530-4744
Entity
Organization
Contact information
Practice address
11112 SHUMATE CROSSING RD, FARMINGTON, AR 72730
(479) 530-4744
(479) 530-4744
Mailing address
11112 SHUMATE CROSSING RD, FARMINGTON, AR 72730-8792
(479) 530-4744
(479) 530-4744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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