Amanda Ellis, PA

NPI #1689388480 in Blaine, Tennessee

Provider Information

NPI Number
1689388480
Entity Type
Individual
Name
Amanda Ellis, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jan 6, 2023
Last Updated
Jul 25, 2025

Practice Location

Address
880 RUTLEDGE PIKE
City
Blaine
ZIP Code
37709-2317
Phone
(865) 933-4110

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant - MedicalMedical
Registered Nurse - EmergencyEmergency

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