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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON D RENICK, DNP, APNP, CPNP-PC

Active

DR. SHANNON D RENICK, DNP, APNP, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in COLUMBUS, Mississippi. NPI 1386167799 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · COLUMBUS, MS

Registration Details

NPI Number
1386167799
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2017 (9.0351356839133 yrs)
Last Updated
Jan 13, 2025
Licenses
907042 (MS)
7787-33 (WI)

Practice Information

Address
210 INDEPENDENCE AVE
COLUMBUS, MS, 397101269
Browse MS providers · Browse ZIP 39710
Phone
6624341395
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in COLUMBUS, MS

Name Credential NPI
STEFANIE TAYLOR CHRISTY DNP 1386020113
CHASITY BROOKE FLOURNOY C-PNP 1851000889
ABIGAIL SULLIVAN THORNHILL CPNP - PC/AC 1114709110
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.