Estes, Johanna Shea

Estes, Johanna Shea is an individual health care provider with primary practice located at 4101 N Water Tower Pl , Mount Vernon IL 62864-6296. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Estes, Johanna Shea can be contacted via phone (618) 244-6222.

Contact Information

Primary practice address
4101 N Water Tower Pl Mount Vernon IL 62864-6296
Phone: (618) 244-6222
Fax: (618) 246-1247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209027598 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209027598 Illinois

Profile Details

NPI number 1558685156
LBN Legal business name Estes, Johanna Shea
Credentials RD, IBCLC, MSNFNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2010
Last updated Jun 23rd, 2023 - about last year

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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