Healthcare Provider Details

I. General information

NPI: 1033668637
Provider Name (Legal Business Name): SARAH J ESTES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2016
Last Update Date: 11/27/2023
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BRECKENRIDGE ST STE 303
OWENSBORO KY
42303-0877
US

IV. Provider business mailing address

PO BOX 23229
OWENSBORO KY
42304-3229
US

V. Phone/Fax

Practice location:
  • Phone: 270-688-5100
  • Fax: 270-688-5109
Mailing address:
  • Phone: 270-688-1330
  • Fax: 270-688-1338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3010754
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: