Individual provider · Type 1 NPI

Kristi Lynn Nicol, PA-C

Medical Physician Assistant · Charlotte, NC

NPI number 1194918771 Active

Practice location

4525 Cameron Valley Pkwy, Suite 1500
Charlotte, NC 28211-3546

Call (704) 512-6240 Map

Fax (704) 512-6241

Mailing address

PO Box 601692
Charlotte, NC 28260-1692

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-00999 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1194918771

Kristi Lynn Nicol, PA-C's National Provider Identifier is 1194918771, issued on Aug 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlotte, NC. The record was last updated on Feb 1, 2011.