Primary Care

Family Physician

Dr. Brown earned his medical degree from Des Moines University, and completed his residency at Utah Valley Family Medicine. After graduation, he joined the SMC family and practices Family Medicine. His interests include rural medicine, sports medicine, obstetrics, minor procedures, and preventative medicine.

Dr. Brown is happily married to his wife, Jennifer. They have four children; Valerie, Gavin, Devrie, and Harvey. His personal interests include basketball, woodworking, fishing, hiking, and all things outdoors.

Family Nurse Practitioner

I am a nurse practitioner that specializes in family practice. I worked as a CNA, LPN, and RN prior to obtaining my master’s degree. I have a back ground as a nurse working in the long term and skilled care as well as working at Creighton University Medical Center as a resource nurse. As a resource nurse I was assigned to many different units including: Intensive Care, Cardiac Critical Care, Post Intensive Care, Medical /Surgical floor, Orthopedics, Neurology and Trauma patients. I ended my nursing career working in the post anesthesia care unit at Creighton University Medical Center. I graduated in 2017 from Clarkson College with my Master’s in Nursing specializing in the Family Practice Nurse Practitioner role. I have always lived in the rural setting in Iowa and knew I wanted to serve the rural Iowa community as a Nurse Practitioner. I joined the Shenandoah Medical Center family in 2018 as the Walk-In Clinic provider, and am now providing primary care at the Tabor Clinic. I have really enjoyed my time in Shenandoah and enjoy taking care of acutely ill patients and assisting them on their road to recovery the best way I can by providing evidenced based care.

Family Nurse Pracitioner

Krista joined the Shenandoah Medical Center in 2019, working at the Sidney Clinic. She see patients of all ages, offering annual exams, well child exams, sports physicals, DOT exams and acute care visits.

Krista is Board Certified by the American Academy of Nurse Practitioners.

Family Nurse Practitioner

Why did you choose to become a nurse/nurse practitioner?
I truly enjoy working as a primary care provider. My mother is a nurse and I remember her working hard to further her career in nursing by going back to school when I was young. She has always loved being a nurse. So when it was time for me to decide what I wanted to do for a career, I decided to become a nurse in the hope that I would enjoy the profession as much as my mother. It was a good decision.
When I graduated from my Masters in Nursing Science / Family Nurse Practitioner program, my search for a position brought me back to the area to become a member of the SMC family.
I love spending time with my family, reading a good book, crafts and watching movies.

Family Nurse Practitioner

Connie Holmes is a graduate from Clarkson College receiving her Master's of Science Nursing Family Nurse Practitioner in 2006. She is board certified through American Nurse Credentialing Center for Family Nurse Practitioner. Connie has worked for the Shenandoah Medical Center dating back to 1984 where she worked as a Registered Nurse. She worked ICU, ER and Family Practice Nursing over the years. Since obtaining her Masters she works in the Shenandoah Physician Clinic as a family nurse practitioner caring for newborns, Geriatrics and everything in between. Since 2009 she has worked for the Veterans Administration at the Shenandoah Clinic as a Primary Care provider caring for our nations veterans. She is a Certified Medical Examiner for the Federal Motor Carrier Safety Administration able to perform DOT physicals. Her interest includes Women's Health, management of hypertension, diabetes, chronic heart and lung issues. She also enjoys working with the teenage population and working with patients on wellness.

Family Physician
  • Medical Degree from University of Nebraska College of Medicine
  • Clarkson Family Medicine Residency Program
  • Board Certified by the American Board of Family Practice
Family Physician
  • Medical Degree from University Nebraska College of Medicine
  • Internship & Residency in Family Practice at Dwight D. Eisenhower Army Medical Center
  • Board Certified by the American Board of Family Practice
Internal Medicine Physician

Dr. Smith is a graduate of Creighton University School of Medicine. He trained in Internal Medicine at the University of New Mexico School of Medicine in Albuquerque, New Mexico. After graduation he worked as junior faculty at the New Mexico VA and as chief resident at UNM where he worked closely with residents and medical students. He is currently board certified in Internal Medicine.

Dr. Smith joined the Shenandoah Medical Center in 2018 and practices outpatient Internal Medicine. His Interests include the management of chronic heart and lung disease, diabetes, and medically complex patients. He offers trigger point injections for chronic muscle pain, several types of joint injections for pain, and enjoys working with patients who are on insulin pumps. Dr. Smith is also passionate about medical education and is excited to be selected as teaching faculty for Lake Erie College of Osteopathic Medicine to host medical students during their clinical rotations.


Internal Medicine Provider

Stephanie is a graduate of Creighton University Doctor of Nursing Practice. She worked in dialysis, ICU and as an administrator prior to completing Nurse Practitioner School. She joined Shenandoah Medical Center in 2018 and practices in Internal Medicine. Stephanie is interested in Chronic Diseases such as Heart, Lung, Diabetes, etc.

Family Physician
  • Medical Degree from Creighton University
  • Clarkson Family Medicine Residency Program
  • Board Certified by the American Board of Family Practice
  • Emphasis in pediatrics

1 Jack Foster Drive

Shenandoah, IA 51601


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Clinic Hours

Monday-Friday: 7-5:00pm

Walk-In Clinic Hours

Monday-Friday: 7-6:30pm Saturday-Sunday: 9-12:30pm