Nurse Practitioner, Pediatrics
Dr. SHANNON RENICK DNP, APNP, CPNP-PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1386167799 · enumerated 2017-07-18 · record updated 2025-01-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: SHANNON GRAHAM
Addresses and phones
- Practice location 210 INDEPENDENCE AVE, COLUMBUS, MS, 39710-1269 (662) 434-1395 Google Maps Apple Maps OpenStreetMap
- Mailing address 201 INDEPENDENCE, COLUMBUS, MS, 39710-5300 (624) 341-3956 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · License 907042 MS
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 7787-33 WI
Locations and evidence
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Practice location
COLUMBUS, MS, 397101269
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.