Provider Demographics
NPI:1114616075
Name:FINISTER, JESSICA N
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:N
Last Name:FINISTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4132 LUXEMBOURG CIR E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-6756
Mailing Address - Country:US
Mailing Address - Phone:317-284-4908
Mailing Address - Fax:317-981-1541
Practice Address - Street 1:4132 LUXEMBOURG CIR E
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46228-6756
Practice Address - Country:US
Practice Address - Phone:317-284-4908
Practice Address - Fax:317-981-1541
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN253Z00000X3747A0650X
IN23-015340-13747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider