Individual provider · Type 1 NPI

Jack Ellis I, PA-C

Physician Assistant · Powell, OH

NPI number 1346962982 Active

Practice location

4141 N Hampton Dr Ste 200
Powell, OH 43065-7062

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.007768RX (OH)

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 1346962982

Jack Ellis I, PA-C's National Provider Identifier is 1346962982, issued on Sep 12, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Powell, OH. The record was last updated on Nov 21, 2022.