Individual provider · Type 1 NPI

Ella Mae Spicketts, PA

Surgical Physician Assistant · Raleigh, NC

NPI number 1972440634 Active

Practice location

4420 Lake Boone Trl
Raleigh, NC 27607-7505

Call (919) 784-3100 Map

Mailing address

4848 E Roosevelt St Apt 2049
Phoenix, AZ 85008-7336

Other practice locations

  • 4420 Lake Boone Trl Ste 203, Raleigh, NC 27607-7505 · (919) 784-2930

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-16923 (NC)
Surgical Physician Assistant Primary 363AS0400X0010-16923. (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1972440634

Ella Mae Spicketts, PA's National Provider Identifier is 1972440634, issued on Apr 30, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Raleigh, NC. The record was last updated on Oct 2, 2026.