Estis, Tedra E

Estis, Tedra E is an individual health care provider with primary practice located at 323 E Grand St , Springfield MO 65807-1447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Estis, Tedra E can be contacted via phone (417) 761-5600.

Contact Information

Primary practice address
323 E Grand St Springfield MO 65807-1447
Phone: (417) 761-5600
Fax: (417) 761-5601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2016006748 Missouri

Profile Details

NPI number 1548612468
LBN Legal business name Estis, Tedra E
Credentials DNP, FPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2016
Last updated Apr 9th, 2026 - about 7 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548612468 NPPES
Missouri MEDICAID 420034864

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