MEDICARE: JOHNELLE SHARNISE 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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1598335911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHNELLE SHARNISE SMITH

Provider Business Mailing Address
First Line	:	3365 N 53RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-3260
Country	:	US
Telephone Number	:	414-722-7304
Fax Number	:

Provider Business Practice Location Address
First Line	:	3365 N 53RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-3260
Country	:	US
Telephone Number	:	414-722-7304
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	06/28/2021

Similar Medicare Providers

1326700147 — BIG MAMA HOUSE LLC
Practice Location Address:

3365 N 53RD ST
MILWAUKEE, WI
53216-3260

Practice Phone: 414-722-7304
Practice Fax:

1760315287 — MRS. OLUWAYEMISI K LAWAL- AGBOOLA
Practice Location Address:

5353 N 60TH ST
MILWAUKEE, WI
53218-3260

Practice Phone: 773-814-8569
Practice Fax:

1174332779 — OASIS HOME CARE
Practice Location Address:

5353 N 60TH ST
MILWAUKEE, WI
53218-3260

Practice Phone: 414-616-1730
Practice Fax:

1144224684 — ANITA P OBRIEN NP
Practice Location Address:

4267 W FOND DU LAC AVE
MILWAUKEE, WI
53216-3527

Practice Phone: 414-873-3440
Practice Fax:

1679561724 — DR. TANWIR H SYED
Practice Location Address:

6719 W CAPITOL DR
MILWAUKEE, WI
53216-2041

Practice Phone: 414-464-6300
Practice Fax:

1689654576 — MOHAMMAD R SETHI MD
Practice Location Address:

6815 W CAPITOL DR , SUITE 105
MILWAUKEE, WI
53216-2070

Practice Phone: 414-444-6000
Practice Fax: 414-444-6004

Directions to “ JOHNELLE SHARNISE SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.