| Mrs Shana Belle Smith, FNP-C | |
|
401 S Church St, Charleston, MS 38921-2257 | |
| (662) 647-5816 | |
| (662) 647-5705 |
| Full Name | Mrs Shana Belle Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 401 S Church St, Charleston, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801287883 | NPI | - | NPPES |
| R877613 | Other | MS | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R877613 (Mississippi) | Primary |
| Entity Name | Tallahatchie General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679733497 PECOS PAC ID: 1052208097 Enrollment ID: O20040303000646 |
| Entity Name | Redmed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shana Belle Smith, FNP-C 401 S Church St, Charleston, MS 38921-2257 Ph: () - | Mrs Shana Belle Smith, FNP-C 401 S Church St, Charleston, MS 38921-2257 Ph: (662) 647-5816 |
Kelsey Marter Faulkner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 Dr Tt Lewis Cir, Charleston, MS 38921 Phone: 662-647-5816 | |
Jessica Elizabeth Mcgee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S Church St, Charleston, MS 38921 Phone: 662-647-5816 | |
Cassala Ward, MSN, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 S Church St, Charleston, MS 38921 Phone: 662-647-5816 | |
Raedena Lancaster Hill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S Church St, Charleston, MS 38921 Phone: 662-647-5816 | |
Audrey Leann Williamson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S Church St, Charleston, MS 38921 Phone: 662-647-5816 Fax: 662-647-5705 |