Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Marie Longoria, PA

Individual provider Physician Assistant · NPI 1497994529

Mrs. Nicole Marie Longoria, PA is a Physician Assistant in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10207 Cerny St Ste 312
Raleigh, NC 27617-4879
Phone: (919) 670-0302
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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 1084959 (KY)

Record details

NPI number1497994529
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 12, 2009
Last updated in NPPESJanuary 5, 2017

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