Individual provider · Type 1 NPI

Carolyn Dianne Hicks, NURSE PRACTITIONER

Family Nurse Practitioner · Charlotte, NC

NPI number 1669045936 Active

Practice location

200 Hawthorne Ln
Charlotte, NC 28204-2515

Call (704) 384-6478 Map

Fax (704) 384-8220

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 10439 Bunclody Dr, Charlotte, NC 28213-0216 · (336) 782-3390

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5015297 (NC)
Family Nurse Practitioner Primary 363LF0000X2021016239 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1669045936

Carolyn Dianne Hicks, NURSE PRACTITIONER's National Provider Identifier is 1669045936, issued on Jul 23, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 26, 2026.