Provider Demographics
NPI:1982630687
Name:JENNETT, CHERYL LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:LYNN
Last Name:JENNETT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10170 SORRENTO VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1604
Mailing Address - Country:US
Mailing Address - Phone:858-784-5888
Mailing Address - Fax:619-278-3310
Practice Address - Street 1:2176 SALK AVENUE
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008
Practice Address - Country:US
Practice Address - Phone:760-827-7410
Practice Address - Fax:619-278-3310
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2013-07-11
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Provider Licenses
StateLicense IDTaxonomies
CAG80878208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics