Female

Jennifer G. Estock WHNP-BC, ANP-C

Nurse Practitioner in Tupelo, MS(View on Map)

Full Name

Jennifer G. Estock WHNP-BC, ANP-C

NPI Number

1063848638

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/16/2013

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

R861901

Contact
Information

Purpose

Mailing
Location

Address

499 GLOSTER CREEK VLG
499 GLOSTER CREEK VLG

City

Tupelo
Tupelo

State

MS
MS

Postal Code

38801-4600
38801-4600

Country

US
US

Telephone Number

(662) 690-8007
(662) 690-8007

Identifiers

Identifier

09987864

Identifier State

MS

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/25/2014

Provider Address

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