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Individual
MRS. SHENELLE KEISHA SMITH
Active
Individual
MRS. SHENELLE KEISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
183860
CT
176B00000X
Midwife
Primary
183860
CT
367A00000X
Advanced Practice Midwife
Primary
641
CT
Other
Enumeration date
07/25/2025
Last updated
07/11/2026
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