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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA R ELLISON, PA-C

Active

TINA R ELLISON, PA-C is a Physician Assistant healthcare provider located in PALM COAST, Florida. NPI 1033196571 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PALM COAST, FL

Registration Details

NPI Number
1033196571
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2005 (20.612973858897 yrs)
Last Updated
Sep 17, 2024
Licenses
50-001637 (OH)
PA9117754 (FL)

Practice Information

Address
61 MEMORIAL MEDICAL PKWY STE 1-800A
PALM COAST, FL, 321645983
Browse FL providers · Browse ZIP 32164
Phone
3863021365
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PALM COAST, FL

Name Credential NPI
CHRISTI LEIGH SAKLAD-COSTELLO PA 1316933880
GARY W. MORSE P.A. 1073561171
THERESA M. LESSARD PA 1194770503
ALAN F. TRELOAR PA 1366498842
ELISE ELLEN KULAGA PA 1477598373
CORRINNA OAKLEY PA-C 1952346058
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.