Individual provider · Type 1 NPI

Stacy Luann Ellis, PA

Physician Assistant · Enid, OK

NPI number 1548448087 Active

Practice location

2821 N Van Buren St
Enid, OK 73703-1729

Call (580) 616-6340 Map

Fax (580) 616-3644

Mailing address

3001 Quail Springs Pkwy Fl 5
Oklahoma City, OK 73134-2640

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1724 (OK)

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 1548448087

Stacy Luann Ellis, PA's National Provider Identifier is 1548448087, issued on Feb 6, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Enid, OK. The record was last updated on Jul 28, 2026.