Individual provider · Type 1 NPI

Traci Harp Ellison, PA-C

Physician Assistant · Virginia Beach, VA

NPI number 1396986360 Active

Practice location

1950 Glenn Mitchell Dr Ste 102
Virginia Beach, VA 23456-0019

Call (757) 368-0437 Map

Mailing address

6350 Center Dr
Norfolk, VA 23502-4107

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	0110002964 (VA)
Physician Assistant	363A00000X	PA08123 (TX)

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 1396986360

Traci Harp Ellison, PA-C's National Provider Identifier is 1396986360, issued on Mar 20, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Sep 15, 2025.