Individual
CHARLENE MAE JAQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11112 SHUMATE CROSSING RD, FARMINGTON, AR 72730-8792
(479) 856-9363
Mailing address
11112 SHUMATE CROSSING RD, FARMINGTON, AR 72730-8792
(479) 856-9363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
229879
AR
363L00000X
Nurse Practitioner
Primary
229879
AR
Other
Enumeration date
08/01/2024
Last updated
12/02/2024
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