Healthcare Provider Details
I. General information
NPI: 1992842876
Provider Name (Legal Business Name): JENNIFER MARIE JESTER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/31/2007
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9113 ALLISONWOOD DR
INDIANAPOLIS IN
46250-1309
US
IV. Provider business mailing address
9113 ALLISONWOOD DR
INDIANAPOLIS IN
46250-1309
US
V. Phone/Fax
- Phone: 317-250-3834
- Fax:
- Phone: 317-250-3834
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 34005773A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: