MS. Heather Renee Ellis, PA-C

NPI #1356026157 in Bristol, Tennessee

Provider Information

NPI Number: 1356026157
Entity Type: Individual
Name: MS. Heather Renee Ellis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 19, 2023
Last Updated: Oct 14, 2025

Practice Location

Address: 1 MEDICAL PARK BLVD
City: Bristol
State: Tennessee
ZIP Code: 37620-7430
Phone: (423) 844-1121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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