IndividualActive
Brianne Ellison
NPI 1902784499 · Case Management Agency · Highland, UT
Provider details
- NPI number
- 1902784499
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4987331-3503 (UT)
Specialties & taxonomies
Agencies
Practice location
11862 Jupiter Cir
Highland, UT 84003-3644
Phone: (801) 592-1061
Approximate (ZIP-level) locationGet directions
Mailing address
11862 Jupiter Cir
Highland, UT 84003-3644
Registry dates
- Enumerated
- 2025-08-23
- Last updated
- 2025-08-23
- Certified
- 2025-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.