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Individual
SHAWNA N SMITH
Active
Individual
SHAWNA N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024170345
VA
363LF0000X
Family Nurse Practitioner
Primary
07305
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522924
—
TN
01
—
3150974
BLUECROSS BLUESHIELD
TN
Enumeration date
05/19/2006
Last updated
05/01/2015
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