Individual
EMMA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3323 CIRCLE BROOK DR APT E, ROANOKE, VA 24018-8253
(703) 969-8633
Mailing address
6618 BIRCHLEIGH WAY, ALEXANDRIA, VA 22315-3644
(703) 969-8633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
04/28/2026
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