TRACI ELLISON, PA-C
Physician Assistant
Active
Individual
NPI: 1396986360
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | PA08123 (TX) |
Frequently Asked Questions
NPI 1396986360 is the National Provider Identifier for TRACI ELLISON, PA-C, a Physician Assistant provider located in Virginia Beach, VA. This NPI was enumerated on March 20, 2009.
TRACI ELLISON, PA-C practices at 1950 GLENN MITCHELL DR STE 102, Virginia Beach, VA 23456.
Quick Facts
- NPI
- 1396986360
- Type
- Individual
- Enumerated
- Mar 20, 2009
- Last Updated
- Sep 15, 2025
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