Individual
OLIVIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
1460 HAMBILTONIAN WAY, YORK, PA 17404-9028
(717) 881-2073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011381
VA
Other
Enumeration date
10/28/2025
Last updated
01/09/2026
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