Individual
TAYLOR NICOLE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
1393 WARBLER WAY, PRESCOTT, AZ 86305-5849
(478) 997-1189
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
4571281
ID
1835P1300X
Psychiatric Pharmacist
RPH033004
GA
Other
Enumeration date
07/28/2021
Last updated
01/13/2026
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