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

Jennie Ellen, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1063537744

Jennie Ellen, MD is a Physical Medicine & Rehabilitation Physician in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4600 S Park Ave
Tucson, AZ 85714-1697
Phone: (520) 889-9574
Fax: (520) 889-5072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 28560 (AZ)

Record details

NPI number1063537744
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESOctober 4, 2019
Mailing address8601 S 6th Avenue, Tucson, AZ 85723-0001

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