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

Talia Marie Nieto

Individual provider Medical Physician Assistant · NPI 1124954375

Talia Marie Nieto is a Medical Physician Assistant in Jacksonville, North Carolina. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

114 Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-9688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 Lakeside Dr, Sneads Ferry, NC 28460-9415 — (910) 327-5437

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1124954375
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

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