Provider Demographics
NPI:1902190143
Name:FESLER, JESSICA ROCHELLE (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ROCHELLE
Last Name:FESLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE # S51
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-5023
Mailing Address - Country:US
Mailing Address - Phone:216-445-6375
Mailing Address - Fax:216-445-4378
Practice Address - Street 1:9500 EUCLID AVE # S51
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-5023
Practice Address - Country:US
Practice Address - Phone:216-445-6375
Practice Address - Fax:216-445-4378
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK284982084N0400X
OH35.1268712084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology