Individual
AMY JELLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
454 SAINT MICHAELS DR STE 200, SANTA FE, NM 87505-7602
(505) 303-5000
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6409
(928) 714-6480
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25271
AZ
2084P0800X
Psychiatry Physician
Primary
94-71
NM
Other
Enumeration date
10/19/2005
Last updated
05/08/2019
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