# MRS. SHAWN FORTENBERRY CHURCHILL COY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255425922
- **Gender:** F
- **Credential:** FNP-BC, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | R789934 | MS | — |
| 363LF0000X | Family Nurse Practitioner | 905512 | MS | — |
| 363LF0000X | Family Nurse Practitioner | APN0000032347 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 905512 | MS | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN0000032347 | TN | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/12/2026