Individual provider · Type 1 NPI

John William Nielsen, PA

Medical Physician Assistant · Wilmington, NC

NPI number 1760465298 Active

Practice location

1901 S 17th St, Suite 1
Wilmington, NC 28401-6626

Call (910) 343-8424 Map

Fax (910) 343-6989

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X101766 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1760465298

John William Nielsen, PA's National Provider Identifier is 1760465298, issued on Nov 29, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilmington, NC. The record was last updated on Jan 11, 2011.