Jennifer E Cheesborough
Plastic and Reconstructive Surgery
300 Pasteur Dr
Stanford
, California 94305-2200
Jennifer E Cheesborough
Plastic and Reconstructive Surgery
300 Pasteur Dr
Stanford
, California 94305-2200
(650) 723-4000
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Jennifer E Cheesborough
- 1804 Embarcadero Rd Ste 100
- Palo Alto, CA
- Zip : 94303-3341
- Phone : (650) 723-4000
Second Address
- Jennifer E Cheesborough
- 300 Pasteur Dr
- Stanford, CA
- Zip : 94305-2200
- Phone : (650) 723-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0122X | Plastic and Reconstructive Surgery | 125056694 | IL |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 142370 | CA |
National Provider Identifier
| NPI | 1316176951 |
|---|---|
| Provider Name | Jennifer E Cheesborough |
| First Address | Palo Alto, CA 94303-3341 |
| Second Address | Stanford, CA 94305-2200 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2009 |
| Last Update Date | 28/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 125056694 | STATE LICENSE NUMBER (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.