Individual
BRIANNE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11862 JUPITER CIR, HIGHLAND, UT 84003-3644
(801) 592-1061
Mailing address
11862 JUPITER CIR, HIGHLAND, UT 84003-3644
(801) 592-1061
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
4987331-3503
UT
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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