Provider Demographics
NPI:1265642169
Name:CHERNE, JESSICA NEIL (MT-BC, NMT)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:NEIL
Last Name:CHERNE
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16938 SADDLEWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-2672
Mailing Address - Country:US
Mailing Address - Phone:952-334-9220
Mailing Address - Fax:
Practice Address - Street 1:1128 LASALLE AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2027
Practice Address - Country:US
Practice Address - Phone:612-321-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist