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Organization
SE MOBILE HOUSE CALLS
Active
Organization
SE MOBILE HOUSE CALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY ESTES FNP-BC (FAMILY NURSE PRACTITIONER)
(859) 954-2119
Entity
Organization
Contact information
Practice address
946 PINE RIDGE RD, WINCHESTER, KY 40391-8603
(859) 954-2119
Mailing address
946 PINE RIDGE RD, WINCHESTER, KY 40391-8603
(859) 954-2119
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100861710
—
KY
Enumeration date
02/24/2023
Last updated
03/31/2023
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