Shannon Rae Smith
NP | Nurse Practitioner - Primary Care | 5+ years Exp
1102 E Michigan Ave, Jackson
Michigan, 49201-1802
517-205-7299
Shannon Rae Smith is a Jackson, Michigan based nurse practitioner with 5 years of experience in Primary Care. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shannon Rae Smith is 4704291706 for Primary Care in Michigan. Her current practice location is 1102 E Michigan Ave, Jackson. Patients can reach her at 517-205-7299. Shannon Rae Smith is NP with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1437766011.
Shannon Rae Smith is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Shannon Rae Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shannon Rae Smith |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1102 E Michigan Ave, Jackson,
Michigan, 49201-1802 |
| Phone: | 517-205-7299 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2567882509 |
| Enrollment ID: | I20201013003327 |
| NPI Number: | 1437766011 |
| NPI Enumeration Date: | 28 Sep, 2020 |
| NPI Last Update On: | 29 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Rae Smith are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704291706 | Primary Care | Michigan | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (230092) | Jackson, MI | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shannon Rae Smith is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| W.a. Foote Memorial Hospital, Inc. (0244136067) | 452 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shannon Rae Smith
1102 E Michigan Ave,
Jackson, Michigan |
| Zip: | 49201-1802 |
| Phone Number: | 517-205-7299 |
Patients can reach Shannon Rae Smith at
1102 E Michigan Ave, Jackson, Michigan or can
call to book an appointment on 517-205-7299.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.