Individual
DR. ANDREA L JESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST, STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01075341A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001021630
ANTHEM BC/BS
—
01
—
01075341
INDIANA STATE LICENSE
IN
05
—
201114490
—
IN
05
—
7100421230
—
KY
Enumeration date
07/02/2008
Last updated
03/05/2024
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