Provider Demographics
NPI:1073269106
Name:ESTES, COURTNEY J (PA)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:J
Last Name:ESTES
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Gender:F
Credentials:PA
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Mailing Address - Street 1:440 E TAMPA ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65806-1131
Mailing Address - Country:US
Mailing Address - Phone:417-851-1551
Mailing Address - Fax:417-865-3479
Practice Address - Street 1:440 E TAMPA ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65806-1131
Practice Address - Country:US
Practice Address - Phone:417-851-1551
Practice Address - Fax:417-865-3479
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-03-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant