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Johanna Shea Estes, RD,IBCLC,MSNFNP-C
Family Nurse Practitioner in Mount Vernon, Illinois
NPI 1558685156

Johanna Shea Estes is a Family Nurse Practitioner based in Mount Vernon, IL and is specialized in Family. Johanna Shea Estes practices in Mount Vernon, IL and has the professional credentials of RD,IBCLC,MSNFNP-C. The NPI Number for Johanna Shea Estes is 1558685156 and holds a License No. 209027598 (Illinois).

The current practice location address for Johanna Shea Estes is 4101 N Water Tower Pl, Mount Vernon, IL and can be reached out via phone at 618-244-6222 and via fax at 618-246-1247.

Location: 4101 N Water Tower Pl, Mount Vernon, IL, 62864-6224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558685156
Provider Name
Johanna Shea Estes
Credential
RD,IBCLC,MSNFNP-C
Provider Entity Type
Individual
Gender
Female
Address
4101 N Water Tower Pl, Mount Vernon, IL, 62864-6224
Phone Number
618-244-6222
Fax Number
618-246-1247
Provider Enumeration Date
03/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4101 N Water Tower Pl
City
Mount Vernon
State
Illinois
Zip
62864-6296
Phone Number
618-244-6222
Fax Number
618-246-1247
person
Provider Business Mailing Address Details
Address
4101 N Water Tower Pl
City
Mount Vernon
State
Illinois
Zip
62864-6296
Phone Number
618-244-6222
Fax Number
618-246-1247
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209027598 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209027598 (Illinois)
Definition
Definition to come...
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