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NPI Code Detail

MEDICARE: SHEEKETA BELLAMY SMITH

MEDICARE: SHEEKETA BELLAMY SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5019507NC
2363LF0000XFamily Nurse Practitioner5019507NC

General Provider Information

NPI Number : 1588426498
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEEKETA BELLAMY SMITH
Provider Business Mailing Address
First Line : 614 N JK POWELL BLVD
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3008
Country : US
Telephone Number : 910-640-2009
Fax Number :
Provider Business Practice Location Address
First Line : 614 N JK POWELL BLVD
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3008
Country : US
Telephone Number : 910-640-2009
Fax Number : 910-640-3036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 04/10/2025

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Directions to “ SHEEKETA BELLAMY SMITH ” Practice Location

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