Healthcare Provider Details

I. General information

NPI: 1033211040
Provider Name (Legal Business Name): JESSICA E KLIPSCH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 W WASHINGTON ST
INDIANAPOLIS IN
46222-4279
US

IV. Provider business mailing address

3400 LAFAYETTE RD
INDIANAPOLIS IN
46222-1146
US

V. Phone/Fax

Practice location:
  • Phone: 317-291-7422
  • Fax:
Mailing address:
  • Phone: 317-291-7422
  • Fax: 317-291-7433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number71016955A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28160333A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: