Individual provider · Type 1 NPI

Shabori Shanae Smith

Nurse Practitioner · St. Louis, MO

NPI number 1053160747 Active

Practice location

11125 Dunn Rd Ste 406
St. Louis, MO 63136-6132

Mailing address

11155 Dunn Rd Ste 406
St. Louis, MO 63136-6150

Other practice locations

  • 11155 Dunn Rd Ste 406, St. Louis, MO 63136-6150 · (314) 653-5484

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2024014462 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

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About NPI 1053160747

Shabori Shanae Smith's National Provider Identifier is 1053160747, issued on May 15, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 26, 2025.