Individual provider · Type 1 NPI

Amanda Ellis, PA

Medical Physician Assistant · Knoxville, TN

NPI number 1689388480 Active

Practice location

10820 Parkside Dr
Knoxville, TN 37934-1956

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X6356 (TN)
Medical Physician Assistant 363AM0700XNone listed
Emergency Registered Nurse 163WE0003XRN88608 (NV)

Medical Physician Assistant: Definition to come...

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About NPI 1689388480

Amanda Ellis, PA's National Provider Identifier is 1689388480, issued on Jan 6, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Knoxville, TN. The record was last updated on Aug 4, 2026.