Provider Demographics
NPI:1043773153
Name:ORNELAS, JANETTE GARCIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:GARCIA
Last Name:ORNELAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 E 6TH ST STE 201B
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4572
Mailing Address - Country:US
Mailing Address - Phone:432-332-5557
Mailing Address - Fax:432-332-5558
Practice Address - Street 1:420 E 6TH ST STE 201B
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4572
Practice Address - Country:US
Practice Address - Phone:432-332-5557
Practice Address - Fax:432-332-5558
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily