DR. Shannon D Renick, DNP, APNP, CPNP-PC
NPI #1386167799 in Columbus, Mississippi
Provider Information
- NPI Number
- 1386167799
- Entity Type
- Individual
- Name
- DR. Shannon D Renick, DNP, APNP, CPNP-PC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- DNP, APNP, CPNP-PC
- Enumeration Date
- Jul 18, 2017
- Last Updated
- Jan 13, 2025
Practice Location
- Address
- 210 INDEPENDENCE AVE
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39710-1269
- Phone
- (662) 434-1395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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