Estes, Carolyn
Estes, Carolyn is an individual health care provider with primary practice located at 860 S Madison St , Tupelo MS 38801-4905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Estes, Carolyn can be contacted via phone (662) 377-7150.Contact Information
Primary practice address
860 S Madison St
Tupelo MS 38801-4905
Phone: (662) 377-7150
Fax: (662) 377-7155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R513849 | Mississippi |
Profile Details
| NPI number | 1811963127 |
|---|---|
| LBN Legal business name | Estes, Carolyn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Mar 4th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811963127 | NPPES |
| Mississippi | MEDICAID | 00112797 |
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