Individual provider · Type 1 NPI

Jill Marie Ellis, P.A.

Physician Assistant · Troy, MI

NPI number 1720052483 Active

Practice location

4967 Crooks Rd Ste 130
Troy, MI 48098-5812

Fax (248) 952-0192

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601003809 (MI)

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 1720052483

Jill Marie Ellis, P.A.'s National Provider Identifier is 1720052483, issued on Feb 17, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Troy, MI. The record was last updated on Nov 15, 2013.