JOHANNA SHEA ESTES RD IBCLC MSNFNP-C NPI 1558685156

NPI Information

Johanna Shea Estes, RD, IBCLC, MSNFNP-C is a family nurse practitioner in Mount Vernon, IL with 2 years of experience. Johanna Shea Estes, RD, IBCLC, MSNFNP-C NPI is 1558685156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4101 N WATER TOWER PL
MOUNT VERNON, IL
ZIP 62864-296
Phone: (618) 244-6222
Fax: (618) 246-1247

The NPI 1558685156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2010 and was last updated on 6/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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