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Jessie King

NPI 1205707767 · on the registry since 2025 · sole proprietor

Practice

Address
8053 Upland Ct
Indianapolis, IN 46278
Phone
(317) 702-6501

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana