Shannon Coker, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Columbus, MS. Individual provider (NPI-1).
Details
- NPI
- 1386598613
- Entity type
- Individual (NPI-1)
- Name
- Shannon Coker
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2026
- Certification date
- Sep 2, 2026
- Last updated
- Sep 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 908199 | MS | Yes |
Practice location
56 Dutch LnColumbus, MS 39702-5500
Phone 662-329-3808 · Fax 662-329-3873
Mailing address
56 Dutch LnColumbus, MS 39702-5500
Phone 662-329-3808 · Fax 662-329-3873
Other practice locations
Louisville, MS 39339
Phone 662-779-0119
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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