Individual
JENNIFER G. ESTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, ANP-C
Contact information
Practice address
499 GLOSTER CREEK VLG, SUITE D-1, TUPELO, MS 38801-4600
(662) 690-8007
(662) 842-4653
Mailing address
499 GLOSTER CREEK VLG, SUITE D-1, TUPELO, MS 38801-4600
(662) 690-8007
(662) 842-4653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R861901
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09987864
—
MS
Enumeration date
09/16/2013
Last updated
11/25/2014
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