Individual
LEANNA GRACE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
285 E STATE ST STE 260, COLUMBUS, OH 43215-4322
(614) 566-9035
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007771RX
OH
Other
Enumeration date
09/05/2022
Last updated
04/20/2026
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