Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Dornak

Individual provider Physician Assistant · NPI 1124582523

Jenna Dornak is a Physician Assistant in Belleville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 233-7750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124582523
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2019
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021
Mailing address5800 Highlands Plaza Dr Apt 133, Saint Louis, MO 63110-1358

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