Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connie Fairley Hicks, DNP-NP

Individual provider Nurse Practitioner · NPI 1649418971

Connie Fairley Hicks, DNP-NP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
18
Licensed in
NC
In the registry since
2009
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Practice location Address checks out

3801 Lake Boone Trl Ste G
Raleigh, NC 27607-2934
Phone: (919) 865-8710
Fax: (919) 256-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5004262 (NC)

Record details

NPI number1649418971
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-NP
Sole proprietorNo
NPI enumeratedJanuary 23, 2009
Last updated in NPPESNovember 30, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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