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Individual

SHANIKA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
514 W PALMETTO ST STE 2D, FLORENCE, SC 29501-4428
(833) 643-6660
(930) 300-5621
Mailing address
514 W PALMETTO ST STE 2D, FLORENCE, SC 29501-4428
(833) 643-6660
(930) 300-5621

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0104473
CO
363L00000X
Nurse Practitioner
11020954
FL
363L00000X
Nurse Practitioner
53-84600-112
KS
363L00000X
Nurse Practitioner
F407820
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
20855
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5010073
NC

Other

Enumeration date
03/14/2017
Last updated
04/08/2026
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