Individual
SHEVON BORDE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3906 CHURCH RD, MOUNT LAUREL, NJ 08054-1108
(856) 699-6077
Mailing address
3906 CHURCH RD, MOUNT LAUREL, NJ 08054-1108
(856) 699-6077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15083000
NJ
363LF0000X
Family Nurse Practitioner
SP029315
PA
Other
Enumeration date
08/29/2022
Last updated
04/27/2026
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