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

Mrs. Alicia Konneker Nielsen, PA-C

Individual provider Physician Assistant · NPI 1568630887

Mrs. Alicia Konneker Nielsen, PA-C is a Physician Assistant in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7940 Williams Pond Ln Ste 150
Charlotte, NC 28277-8766
Phone: (704) 752-7779
Fax: (704) 752-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-01222 (NC)

Record details

NPI number1568630887
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2008
Last updated in NPPESMay 10, 2010

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