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Individual

MS. JO ESTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1700 DIVIDEND DR, LOGANSPORT, IN 46947-1572
(574) 722-7407
(844) 397-1308
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 576-1335

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001098A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000815169
ANTHEM
IN
05
200346990
IN
01
P01102593
RAILROAD
IN
Enumeration date
04/19/2006
Last updated
11/14/2018
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