Provider Demographics
NPI:1003063066
Name:ORNBURN, JAMIE NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:NICOLE
Last Name:ORNBURN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:NICOLE
Other - Last Name:PINCKERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1412 GLORIA TERRELL DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HIGHLAND HEIGHTS
Mailing Address - State:KY
Mailing Address - Zip Code:41076-9102
Mailing Address - Country:US
Mailing Address - Phone:859-442-0999
Mailing Address - Fax:866-635-3294
Practice Address - Street 1:1412 GLORIA TERRELL DR
Practice Address - Street 2:SUITE 4
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:KY
Practice Address - Zip Code:41076-9102
Practice Address - Country:US
Practice Address - Phone:859-442-0999
Practice Address - Fax:866-635-3294
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5136111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor