Healthcare Provider Details

I. General information

NPI: 1447971114
Provider Name (Legal Business Name): NIKKI ESTERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STARR AVE STE A
STARKVILLE MS
39759-4032
US

IV. Provider business mailing address

100 STARR AVE STE A
STARKVILLE MS
39759-4032
US

V. Phone/Fax

Practice location:
  • Phone: 662-268-8059
  • Fax: 662-268-8109
Mailing address:
  • Phone: 662-268-8059
  • Fax: 662-268-8109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: