Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlene Mae Jaques, APN

Individual provider Family Medicine Physician · NPI 1376373761

Charlene Mae Jaques, APN is a Nurse Practitioner in Farmington, Arkansas. Qualified in 2024, 2 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

11112 Shumate Crossing Rd
Farmington, AR 72730-8792
Phone: (479) 856-9363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 229879 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 229879 (AR)

Record details

NPI number1376373761
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorYes
NPI enumeratedAugust 1, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address11112 Shumate Crossing Rd, Farmington, AR 72730-8792

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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