Provider Demographics
NPI:1538501119
Name:PELL, JESSICA JO (DC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:JO
Last Name:PELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:JO
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28470 LA 43 HWY STE B
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:LA
Mailing Address - Zip Code:70711-4322
Mailing Address - Country:US
Mailing Address - Phone:225-567-6651
Mailing Address - Fax:225-567-6667
Practice Address - Street 1:3212 N 13TH ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47804-1236
Practice Address - Country:US
Practice Address - Phone:812-460-1400
Practice Address - Fax:812-460-1402
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002729A111N00000X
LA1881111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor