Mrs Shannon Boney Mathis, NP-C | |
2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 | |
(910) 454-4032 | |
(910) 454-4033 |
Full Name | Mrs Shannon Boney Mathis |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2950 Pine Plantation Pkwy, Oak Island, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013472232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5011426 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5011426 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Wilmington Internal Medicine Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639201056 PECOS PAC ID: 9931270766 Enrollment ID: O20080620000555 |
Mailing Address | Practice Location Address |
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Mrs Shannon Boney Mathis, NP-C Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Mrs Shannon Boney Mathis, NP-C 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 Ph: (910) 454-4032 |
Amanda L Shirley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2950 Pine Plantation Pkwy, Oak Island, NC 28461 Phone: 910-454-4032 Fax: 910-454-4033 | |
Lana Kelly Simmons, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2950 Pine Plantation Pkwy, Oak Island, NC 28461 Phone: 910-454-4032 Fax: 910-454-4033 | |
Ms. Sara Elizabeth Clagg, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2950 Pine Plantation Pkwy, Oak Island, NC 28461 Phone: 910-454-4032 | |
Catherine Swain Ward, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2950 Pine Plantation Pkwy, Oak Island, NC 28461 Phone: 910-454-4032 Fax: 910-454-4033 | |
Deborah Elizabeth Cobb, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4700 E Oak Island Dr, Oak Island, NC 28465 Phone: 910-278-6414 Fax: 855-763-1167 |