Individual provider · Type 1 NPI
Shannon D. Renick, DNP, APNP, CPNP-PC
Pediatric Nurse Practitioner · Columbus, MS
NPI number
1386167799
Active
Practice location
210 Independence Ave
Columbus, MS 39710-1269
Mailing address
201 Independence
Columbus, MS 39710-5300
Other practice locations
- 3600 Bluecutt Rd Ste 1, Columbus, MS 39705-1303 · (662) 570-4770
- 56 Dutch Ln, Columbus, MS 39702-5500 · (662) 329-3808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 907042 (MS) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 7787-33 (WI) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Columbus
About NPI 1386167799
Shannon D. Renick, DNP, APNP, CPNP-PC's National Provider Identifier is 1386167799, issued on Jul 18, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbus, MS. The record was last updated on Jan 13, 2025.