MEDICARE: MRS. JORGINA GUADALUPE ORNELAS CPNP-AC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0222X	Critical Care Pediatric Nurse Practitioner	1236759	TX

General Provider Information

NPI Number	:	1922930205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JORGINA GUADALUPE ORNELAS CPNP-AC

Provider Business Mailing Address
First Line	:	12849 CLEVEDON ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79928-5950
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4321 N MESA ST STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1141
Country	:	US
Telephone Number	:	915-996-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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