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

STACY LUANN ELLIS, PA

Active Sole Proprietor

STACY LUANN ELLIS, PA is a Physician Assistant healthcare provider located in NORMAN, Oklahoma. NPI 1548448087 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NORMAN, OK

Registration Details

NPI Number
1548448087
Provider Type
Individual
Gender
Female
NPI Issued
Feb 6, 2008 (18.496671932887 yrs)
Last Updated
Jan 27, 2022
Licenses
15-01282 (KS)
1724 (OK)
Sole Proprietor
Yes

Practice Information

Address
448 36TH AVE NW STE 101
NORMAN, OK, 730724743
Browse OK providers · Browse ZIP 73072
Phone
4055739905
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in NORMAN, OK

Name Credential NPI
ELIZABETH EDITH BIVENS PA-C 1447258405
MICHELLE L BOURNE PA-C 1124027263
JANA L THORNTON PAC 1649252834
TODD BRADFORD PELTON PAC 1770560567
MR. MICHAEL J PFLUGHOFT PA 1023080223
KENT DAVID BAYS, P.A. 1043271240
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.