National Provider Identifier

Jessica Lauren Ede, M.D.

Jessica Lauren Ede, M.D. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Cheektowaga, NY and a listed phone number of (716) 891-2400.

NPI 1619382744Cheektowaga, NYEmergency Medicine Physician

Profile Overview

NPI
1619382744
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
June 26, 2014
Last Updated
February 02, 2021

Practice Location

  • 2605 Harlem RD
  • Cheektowaga, NY 14225-4018

Phone: (716) 891-2400

Mailing Address

  • 62043 Colleen Ct
  • Washington, MI 48094-1000

Specialties

  • Emergency Medicine Physician (207P00000X)
  • Emergency Medicine Physician (207P00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1619382744
Entity Type
Individual
Last Name
Ede
First Name
Jessica
Middle Name
Lauren
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
62043 Colleen Ct
Mailing City
Washington
Mailing State
MI
Mailing ZIP Code
48094-1000
Mailing Country
US
Mailing Phone
(248) 225-1556
Practice Street Address
2605 Harlem RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4018
Practice Country
US
Practice Phone
(716) 891-2400
Enumeration Date
June 26, 2014
Last Updated
February 02, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 02, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X), Student in an Organized Health Care Education/Training Program (390200000X)