SHANNON RAE SMITH

JACKSON, MI
NPI1437766011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MI  4704291706)
Enumeration Date2020-09-28
Last Update Date2021-03-30
Business Address
SHANNON RAE SMITH NP
1102 E MICHIGAN AVE
JACKSON, MI 49201-1802
Phone number: 517-205-7299
Mailing Address
SHANNON RAE SMITH NP
4714 ALBION RD
CONCORD, MI 49237-9703
Phone number: 719-534-3195
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