Provider Demographics
NPI:1578387668
Name:ESTES, MERCEDES (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:MERCEDES
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 1:8587A RALLY HILL RD
Mailing Address - Street 2:
Mailing Address - City:EVERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72633-8168
Mailing Address - Country:US
Mailing Address - Phone:870-577-4171
Mailing Address - Fax:
Practice Address - Street 1:8587A RALLY HILL RD
Practice Address - Street 2:
Practice Address - City:EVERTON
Practice Address - State:AR
Practice Address - Zip Code:72633-8168
Practice Address - Country:US
Practice Address - Phone:870-577-4171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR121569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily