Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Leanne Owens, PA-C

Individual provider Physician Assistant · NPI 1568005023

Nicole Leanne Owens, PA-C is a Physician Assistant in Charlotte, North Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2019.

Licensed in
NC, SC
In the registry since
2019
Specialties on file
2
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

1339 Maryland Ave
Charlotte, NC 28209-1525
Phone: (843) 714-2814
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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 0010-11765 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 3331 (SC)

Record details

NPI number1568005023
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2019
Last updated in NPPESMarch 17, 2022
Certification dateMarch 17, 2022

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