person
Dr. Shannon D Renick, DNP,APNP,CPNP-PC
Pediatric Nurse Practitioner in Columbus, Mississippi
NPI 1386167799

Shannon D Renick is a Pediatric Nurse Practitioner based in Columbus, MS and is specialized in Pediatrics. Shannon D Renick practices in Columbus, MS and has the professional credentials of DNP,APNP,CPNP-PC. The NPI Number for Shannon D Renick is 1386167799 and holds a License No. 907042 (Mississippi).

The current practice location address for Shannon D Renick is 210 Independence Ave, Columbus, MS and can be reached out via phone at 662-434-1395.

Location: 210 Independence Ave, Columbus, MS, 39710-5300
person
Provider Profile Details
NPI Number
1386167799
Provider Name
Shannon D Renick
Credential
DNP,APNP,CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
210 Independence Ave, Columbus, MS, 39710-5300
Phone Number
662-434-1395
Fax Number
Provider Enumeration Date
07/18/2017
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
210 Independence Ave
City
State
Zip
39710-1269
Phone Number
662-434-1395
Fax Number
person
Provider Business Mailing Address Details
Address
210 Independence Ave
City
State
Zip
39710-1269
Phone Number
662-434-1395
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
907042 (Mississippi)
Definition
Definition to come...
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