Individual
MRS. SHAWN FORTENBERRY CHURCHILL COY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
190 W MAIN ST, CAMDEN, TN 38320-1609
(731) 213-2662
(731) 213-2539
Mailing address
190 W MAIN ST, CAMDEN, TN 38320-1609
(731) 213-2662
(731) 213-2539
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
905512
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN0000032347
TN
Other
Enumeration date
10/03/2006
Last updated
05/07/2026
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