Individual provider · Type 1 NPI

Shanice Mary Ann Matos, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Fayetteville, NC

NPI number 1427759059 Active

Practice location

711 Executive Pl
Fayetteville, NC 28305-5193

Fax (910) 615-1623

Mailing address

350 Royal Birkdale Dr
Raeford, NC 28376-8956

Other practice locations

  • 3425 Melrose Rd, Fayetteville, NC 28304-1608 · (910) 615-3610
  • 131 W Edinborough Ave, Raeford, NC 28376-2825 · (917) 251-1167
  • 803 Tilghman Dr Ste 100, Dunn, NC 28334-6699 · (910) 615-3333

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5017790 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1427759059

Shanice Mary Ann Matos, PMHNP's National Provider Identifier is 1427759059, issued on Mar 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, NC. The record was last updated on May 1, 2026.