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

Jacqueline Tillery

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1578211496

Jacqueline Tillery is an Intellectual & Developmental Disabilities Psychologist in Anchorage, Alaska. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

9441 Kylie Cir
Anchorage, AK 99502-1448
Phone: (919) 808-7163
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X

Record details

NPI number1578211496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2022
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022

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