Individual provider · Type 1 NPI

Ebony Irvin, CCMA

Medical Physician Assistant · Suffolk, VA

NPI number 1265312334 Active

Practice location

1258 Holland Rd
Suffolk, VA 23434-6313

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XM5Y3S8K8 (VA)

Medical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1265312334

Ebony Irvin, CCMA's National Provider Identifier is 1265312334, issued on Sep 8, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Suffolk, VA. The record was last updated on Sep 8, 2025.