Individual
EMILY IONE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2728 W MALLARD CREEK CHURCH RD STE 300, CHARLOTTE, NC 28262-2309
(980) 218-1860
(704) 548-8437
Mailing address
2728 W MALLARD CREEK CHURCH RD STE 300, CHARLOTTE, NC 28262-2309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14010
NC
363A00000X
Physician Assistant
PA14606
TX
Other
Enumeration date
08/31/2021
Last updated
09/20/2024
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