Provider Demographics
NPI:1508648627
Name:ESTES, FELICIA (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:ESTES
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 IRVINE RD
Mailing Address - Street 2:
Mailing Address - City:CLAY CITY
Mailing Address - State:KY
Mailing Address - Zip Code:40312-9732
Mailing Address - Country:US
Mailing Address - Phone:606-663-2153
Mailing Address - Fax:
Practice Address - Street 1:749 IRVINE RD
Practice Address - Street 2:
Practice Address - City:CLAY CITY
Practice Address - State:KY
Practice Address - Zip Code:40312-9732
Practice Address - Country:US
Practice Address - Phone:606-663-2153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3018999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily