Churchill Coy, Shawn Fortenberry

Churchill Coy, Shawn Fortenberry is an sole proprietor health care provider with primary practice located at 912 Summertown Hwy , Hohenwald TN 38462-5703. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Churchill Coy, Shawn Fortenberry can be contacted via phone (931) 736-5916.

Contact Information

Primary practice address
912 Summertown Hwy Hohenwald TN 38462-5703
Phone: (931) 736-5916
Fax: (931) 796-1288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X R789934 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 905512 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000032347 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 905512 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN0000032347 Tennessee

Profile Details

NPI number 1255425922
LBN Legal business name Churchill Coy, Shawn Fortenberry
Credentials PMHNP-BC, FNP-BC,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Mar 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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