Individual provider · Type 1 NPI

Shannon Boney Mathis, NP-C

Nurse Practitioner · Wilmington, NC

NPI number 1013472232 Active

Practice location

1090 Medical Center Dr
Wilmington, NC 28401-7353

Call (910) 662-8550 Map

Fax (910) 343-1924

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5011426 (NC)
Nurse Practitioner Primary 363L00000X5011426 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013472232

Shannon Boney Mathis, NP-C's National Provider Identifier is 1013472232, issued on Feb 1, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, NC. The record was last updated on Mar 17, 2025.