Dr TRACI HARP ELLISON is a female medical professional, specializing in Physician Assistant. She graduated in 2008 from University Of Oklahoma College Of Medicine.
BON SECOURS DEPAUL MEDICAL CENTER INC
150 KINGSLEY LN
NORFOLK
VA
235054602
Tel: 7573982673
| Npi | 1396986360 |
| Pac Id | 1759438781 |
| Professional Enrollment Id | I20090409000119 |
| Last Name | ELLISON |
| First Name | TRACI |
| Middle Name | HARP |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BON SECOURS DEPAUL MEDICAL CENTER INC |
| Group Practice Pac Id | 4082517982 |
| Number Of Group Practice Members | 83 |
| Line 1 Street Address | 150 KINGSLEY LN |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NORFOLK |
| State | VA |
| Zip Code | 235054602 |
| Phone Number | 7573982673 |
| Hospital Affiliation Ccn 1 | 490011 |
| Hospital Affiliation Lbn 1 | BON SECOURS DEPAUL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 490046 |
| Hospital Affiliation Lbn 2 | SENTARA LEIGH HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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