NPI 1063537744
Jennie Ellen, MD
Practice location
- Address
- 4600 S Park Ave, Tucson, AZ 85714-1697
- Phone
- (520) 889-9574
- Fax
- (520) 889-5072
- Mailing address
- 8601 S 6th Avenue, Tucson, AZ 85723-0001
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1063537744
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Mar 2007
- Record last updated
- 4 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.