Individual provider · Type 1 NPI

Tina R. Ellison, PA-C

Physician Assistant · Palm Coast, FL

NPI number 1033196571 Active

Practice location

61 Memorial Medical Pkwy Ste 1-800A
Palm Coast, FL 32164-5983

Call (386) 302-1365 Map

Mailing address

PO Box 946383
Atlanta, GA 30394-6383

Other practice locations

  • 2626 Care Dr Ste 105, Tallahassee, FL 32308-4489 · (850) 402-3104

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X50-001637 (OH)
Physician Assistant Primary 363A00000XPA9117754 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033196571

Tina R. Ellison, PA-C's National Provider Identifier is 1033196571, issued on Dec 27, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Palm Coast, FL. The record was last updated on Sep 17, 2024.