Smith, Shannon Rae

Smith, Shannon Rae is an individual health care provider with primary practice located at 1102 E Michigan Ave , Jackson MI 49201-1802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Smith, Shannon Rae can be contacted via phone (517) 205-7299.

Contact Information

Primary practice address
1102 E Michigan Ave Jackson MI 49201-1802
Phone: (517) 205-7299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704291706 Michigan

Profile Details

NPI number 1437766011
LBN Legal business name Smith, Shannon Rae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2020
Last updated Mar 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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