# SE MOBILE HOUSE CALLS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740989052
- **Authorized official:** SHELLEY ESTES FNP-BC (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (859) 954-2119

## Contact information

- **Practice address:** 946 PINE RIDGE RD, WINCHESTER, KY 40391-8603
- **Practice address phone:** (859) 954-2119
- **Mailing address:** 946 PINE RIDGE RD, WINCHESTER, KY 40391-8603
- **Mailing address phone:** (859) 954-2119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2023
- **Last updated:** 03/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100861710 | — | KY |