Provider Demographics
NPI:1619316213
Name:CHERRY, JESSICA CAROL (DO)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:CAROL
Last Name:CHERRY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:CAROL
Other - Last Name:PESCATORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:445 HURFFVILLE CROSSKEYS RD STE A
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2337
Mailing Address - Country:US
Mailing Address - Phone:856-557-7546
Mailing Address - Fax:
Practice Address - Street 1:445 HURFFVILLE CROSSKEYS RD STE A
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2337
Practice Address - Country:US
Practice Address - Phone:856-557-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT015066207V00000X
NJ25MB10073500207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology