Individual provider · Type 1 NPI

Connie Fairley Hicks, DNP-NP

Nurse Practitioner · Raleigh, NC

NPI number 1649418971 Active

Practice location

3801 Lake Boone Trl, Suite G
Raleigh, NC 27607-2934

Fax (919) 256-0772

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5004262 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649418971

Connie Fairley Hicks, DNP-NP's National Provider Identifier is 1649418971, issued on Jan 23, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Raleigh, NC. The record was last updated on Nov 30, 2012.