Provider Demographics
NPI:1699066589
Name:CHERN, JO ANN
Entity type:Individual
Prefix:
First Name:JO
Middle Name:ANN
Last Name:CHERN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2564 BRANCH ST
Mailing Address - Street 2:SUITE B10
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-2858
Mailing Address - Country:US
Mailing Address - Phone:608-836-6541
Mailing Address - Fax:
Practice Address - Street 1:2564 BRANCH ST
Practice Address - Street 2:SUITE B10
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-2858
Practice Address - Country:US
Practice Address - Phone:608-836-6541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator