Provider Demographics
NPI:1063100410
Name:CHEDID, JESSICA ESTHER
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ESTHER
Last Name:CHEDID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3812 PINNACLE CT
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-7885
Mailing Address - Country:US
Mailing Address - Phone:216-355-3391
Mailing Address - Fax:
Practice Address - Street 1:3812 PINNACLE CT
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-7885
Practice Address - Country:US
Practice Address - Phone:216-355-3391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker