MRS. SHAWN FORTENBERRY CHURCHILL COY PMHNP-BC FNP-BC NPI 1255425922

NPI Information

NPI: 1255425922
Provider Name: MRS. SHAWN FORTENBERRY CHURCHILL COY, PMHNP-BC, FNP-BC,
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
912 SUMMERTOWN HWY
HOHENWALD, TN
ZIP 38462
Phone: (931) 736-5916
Get Directions

MRS. Shawn Fortenberry Churchill Coy, PMHNP-BC, FNP-BC, is a psychiatric/mental health nurse practitioner in Hohenwald, TN with 2 years of experience. MRS. Shawn Fortenberry Churchill Coy, PMHNP-BC, FNP-BC, NPI is 1255425922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

912 SUMMERTOWN HWY
HOHENWALD, TN
ZIP 38462-703
Phone: (931) 736-5916
Fax: (931) 796-1288

The NPI 1255425922 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WR0006X	Registered Nurse	Registered Nurse First Assistant	R789934	MISSISSIPPI	No
2	363LF0000X	Nurse Practitioner	Family	905512	MISSISSIPPI	No
3	363LF0000X	Nurse Practitioner	Family	APN0000032347	TENNESSEE	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	905512	MISSISSIPPI	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN0000032347	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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