Healthcare Provider Details

I. General information

NPI: 1710542287
Provider Name (Legal Business Name): TINA LYNN SHEHEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2019
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 UNION POINT ST
LEXINGTON GA
30648-2303
US

IV. Provider business mailing address

611 PAYNES CREEK RD
HARTWELL GA
30643-2395
US

V. Phone/Fax

Practice location:
  • Phone: 706-743-8171
  • Fax:
Mailing address:
  • Phone: 706-961-1696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP134400
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: