Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Samuel Mark Shores, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1992477020

Mr. Samuel Mark Shores, FNP-BC is a Family Nurse Practitioner in Matthews, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

630 Matthews Township Pkwy
Matthews, NC 28105-5322
Phone: (704) 495-6020
Fax: (844) 620-0793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5015329 (NC)

Record details

NPI number1992477020
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 28, 2021
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023

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