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Individual
SHANICKA SMITH
Active
Individual
SHANICKA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209036185
IL
363LF0000X
Family Nurse Practitioner
Primary
309025226
IL
Other
Enumeration date
07/30/2026
Last updated
08/07/2026
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