Individual provider · Type 1 NPI

Ellen Nicole Lockwood, PA-C

Physician Assistant · Tampa, FL

NPI number 1104584390 Active

Practice location

3820 Northdale Blvd Ste 200
Tampa, FL 33624-1863

Call (813) 712-5702 Map

Fax (813) 377-1005

Mailing address

38135 Market Sq
Zephyrhills, FL 33542-7505

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	None listed
Physician Assistant Primary	363A00000X	PA9115565 (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 1104584390

Ellen Nicole Lockwood, PA-C's National Provider Identifier is 1104584390, issued on Dec 4, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tampa, FL. The record was last updated on Oct 21, 2022.