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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100861710
—
KY
Enumeration date
02/24/2023
Last updated
03/31/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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