Healthcare Provider Details

I. General information

NPI: 1861355190
Provider Name (Legal Business Name): JENNIFER OSTRENGA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 OVERLOOK TER
MADISON WI
53705-2286
US

IV. Provider business mailing address

5258 NATURE DR
SUN PRAIRIE WI
53590-9243
US

V. Phone/Fax

Practice location:
  • Phone: 608-256-1901
  • Fax: 608-280-2189
Mailing address:
  • Phone: 608-256-1901
  • Fax: 608-280-2189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number134831-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: