# SHAFONNE MONIQUE SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770928343
- **Gender:** F
- **Credential:** WHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225700000X | Massage Therapist | 2024011653 | MO | — |
| 363LA2200X | Adult Health Nurse Practitioner | 2016009888 | MO | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | 2016009888 | MO | — |
| 363LW0102X | Women's Health Nurse Practitioner | 28208566A | IN | — |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 09/30/2024