Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shannon D Renick, DNP, APNP, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1386167799

Dr. Shannon D Renick, DNP, APNP, CPNP-PC is a Pediatric Nurse Practitioner in Columbus, Mississippi. Works from 3 locations. Licensed in Mississippi and Wisconsin.

Licensed in
MS, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

210 Independence Ave
Columbus, MS 39710-1269
Phone: (662) 434-1395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 56 Dutch Ln, Columbus, MS 39702-5500 — (662) 329-3808
  • 3600 Bluecutt Rd Ste 1, Columbus, MS 39705-1303 — (662) 570-4770

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 7787-33 (WI)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 907042 (MS)

Record details

NPI number1386167799
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , APNP , CPNP-PC
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

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