Charlene Mae Jaques, APN is a
Nurse Practitioner physician based in Farmington, Arkansas. Charlene Mae Jaques is licensed to practice in Arkansas (license number 229879) and her current practice location is 11112 Shumate Crossing Rd, Farmington, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 856-9363.
NPI number for Charlene Mae Jaques is 1376373761 and her current mailing address is 11112 Shumate Crossing Rd, Farmington, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376373761.
Physician's Profile
Full Name | Charlene Mae Jaques |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 11112 Shumate Crossing Rd, Farmington, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376373761
- Provider Enumeration Date: 08/01/2024
- Last Update Date: 12/02/2024
Medical Identifiers
Medical identifiers for Charlene Mae Jaques such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376373761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 229879 (Arkansas) | Secondary |
363L00000X | Nurse Practitioner | 229879 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlene Mae Jaques is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charlene Mae Jaques, APN 11112 Shumate Crossing Rd, Farmington, AR 72730-8792 Ph: (479) 856-9363 | Charlene Mae Jaques, APN 11112 Shumate Crossing Rd, Farmington, AR 72730-8792 Ph: (479) 856-9363 |
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