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

Shannah Riley Wayne

Individual provider Physician Assistant · NPI 1265022180

Shannah Riley Wayne is a Physician Assistant in Wilmington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5115 Oleander Dr
Wilmington, NC 28403-7018
Phone: (910) 362-1011
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Gastroenterology Physician Taxonomy 207RG0100X · Licence 0010-11948 (NC)

Record details

NPI number1265022180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2021
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022

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