SHANNON D RENICK

COLUMBUS, MS
NPI1386167799
Former NameSHANNON D GRAHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: WI  7787-33)
Enumeration Date2017-07-18
Last Update Date2024-08-09
Business Address
DR. SHANNON D RENICK DNP, APNP, CPNP-PC
210 INDEPENDENCE AVE
COLUMBUS, MS 39710-1269
Phone number: 662-434-1395
Mailing Address
DR. SHANNON D RENICK DNP, APNP, CPNP-PC
201 INDEPENDENCE
COLUMBUS, MS 39710-5300
Phone number: 624-341-3956
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