Jacqueline Tanner Ellis
Jacqueline Tanner Ellis is a Community/Behavioral Health Agency in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
17223 N Cave Creek Rd Unit 26Phoenix, AZ 85032-2484
Phone: (928) 500-8793
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1982553772 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2026 |
| Last updated in NPPES | January 24, 2026 |
| Certification date | January 24, 2026 |
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