Jacques, Charlie R

Jacques, Charlie R is an individual health care provider with primary practice located at 1380 E Medical Center Dr Suite #1400, St George UT 84790-2123. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Jacques, Charlie R can be contacted via phone (435) 251-2600.

Contact Information

Primary practice address
1380 E Medical Center Dr Suite #1400 St George UT 84790-2123
Phone: (435) 251-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1976944405 Utah

Profile Details

NPI number 1336162890
LBN Legal business name Jacques, Charlie R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 26th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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