Individual
CAROLYN DIANNE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-6478
(704) 384-8220
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-6478
(704) 384-8220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015297
NC
363LF0000X
Family Nurse Practitioner
Primary
2021016239
NC
Other
Enumeration date
07/23/2021
Last updated
03/26/2026
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