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:
Health care specialties
| Specialty | Code | License # | 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 3 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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