Individual
MRS. SHANNON BONEY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1090 MEDICAL CENTER DR, WILMINGTON, NC 28401-7353
(910) 662-8550
(910) 343-1924
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011426
NC
363LF0000X
Family Nurse Practitioner
5011426
NC
Other
Enumeration date
02/01/2019
Last updated
03/17/2025
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