Shaquantalia Smothers, FNP
Nurse Practitioner, Family in Naperville, IL. Individual provider (NPI-1).
NPI number1114587474
StatusActive
Last updated in NPPESJun 19, 2019
Details
- NPI
- 1114587474
- Entity type
- Individual (NPI-1)
- Name
- Shaquantalia Smothers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2019
- Last updated
- Jun 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 041418910 | IL | Yes |
Practice location
852 S West StNaperville, IL 60540-6400
Phone 630-305-5027
Mailing address
952 Fountain PlSchererville, IN 46375-3100
Phone 708-359-5071
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