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

MS. Ella Mae Spicketts, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972440634

MS. Ella Mae Spicketts, PA is a Student in an Organized Health Care Education/Training Program in Raleigh, North Carolina. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026
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

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (AZ)

Record details

NPI number1972440634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

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