Individual
SHANNON SMITH
Active
Individual
SHANNON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0011482
DE
363L00000X
Nurse Practitioner
R198429
MD
363LF0000X
Family Nurse Practitioner
LG-0011482
DE
363LF0000X
Family Nurse Practitioner
Primary
R198429
MD
Other
Enumeration date
09/28/2009
Last updated
01/05/2026
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