Provider Demographics
NPI:1508639477
Name:ORNSTEIN, JENNA WESLEE (DC)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:WESLEE
Last Name:ORNSTEIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19293 SKYRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6210
Mailing Address - Country:US
Mailing Address - Phone:561-613-5681
Mailing Address - Fax:
Practice Address - Street 1:9960 CENTRAL PARK BLVD N STE 375
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1706
Practice Address - Country:US
Practice Address - Phone:561-313-9117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor