Individual provider · Type 1 NPI

Charlene Mae Jaques, APN

Nurse Practitioner · Farmington, AR

NPI number 1376373761 Active

Practice location

11112 Shumate Crossing Rd
Farmington, AR 72730-8792

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X229879 (AR)
Nurse Practitioner Primary 363L00000X229879 (AR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1376373761

Charlene Mae Jaques, APN's National Provider Identifier is 1376373761, issued on Aug 1, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmington, AR. The record was last updated on Dec 2, 2024.