Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHAWN FORTENBERRY CHURCHILL COY, FNP-BC, PMHNP-BC
Active Sole ProprietorMRS. SHAWN FORTENBERRY CHURCHILL COY, FNP-BC, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in COLUMBUS, Mississippi. NPI 1255425922 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · COLUMBUS, MS
Registration Details
- NPI Number
- 1255425922
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2006 (19.822374797122 yrs)
- Last Updated
- Jul 28, 2025
- Licenses
-
R789934 (MS)905512 (MS)APN0000032347 (TN)APN0000032347 (TN)905512 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3600 BLUECUTT RD STE 201COLUMBUS, MS, 397051397Browse MS providers · Browse ZIP 39705
- Phone
- 6623293973
- Fax
- 6623299056
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in COLUMBUS, MS
| Name | Credential | NPI |
|---|---|---|
| PATRICIA M. MALONE | PMHNP-BC | 1073853388 |
| MARY VAUGHN | DNP, FNP-C, PMHNP-C | 1497164446 |
| VICTORIA HARGROVE | NP | 1164073227 |
| TAWANA GIPSON | PMHNP-BC | 1881202182 |
| CHRISTOPHER ANDREW BROWN | PMHNP-BC | 1942924154 |
| LATARA LEE | — | 1437837036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.