Individual
MRS. SHANNON TAYLOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
171 KEMPSVILLE RD BLDG A, NORFOLK, VA 23502-4700
(757) 668-6550
(757) 668-6545
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7878
(757) 668-7883
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024172592
VA
Other
Enumeration date
01/04/2016
Last updated
06/19/2025
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