Individual
AUDRIANNA SHAUNTERA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 455-6900
(864) 255-5619
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5020019
NC
363LA2200X
Adult Health Nurse Practitioner
5020019
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
21701
SC
Other
Enumeration date
02/07/2020
Last updated
02/09/2026
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