Individual provider · Type 1 NPI

Jordin Lee Ellingson, PA-C

Physician Assistant · Oldsmar, FL

NPI number 1922625326 Active

Practice location

3919 Tampa Rd
Oldsmar, FL 34677-3114

Call (727) 733-6111 Map

Fax (727) 733-6002

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9113176 (FL)

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 1922625326

Jordin Lee Ellingson, PA-C's National Provider Identifier is 1922625326, issued on Jul 1, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oldsmar, FL. The record was last updated on Jan 27, 2026.