Provider Demographics
NPI:1710542287
Name:SHEHEE, TINA LYNN
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:LYNN
Last Name:SHEHEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 PAYNES CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HARTWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30643-2395
Mailing Address - Country:US
Mailing Address - Phone:706-961-1696
Mailing Address - Fax:
Practice Address - Street 1:247 UNION POINT ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:GA
Practice Address - Zip Code:30648-2303
Practice Address - Country:US
Practice Address - Phone:706-743-8171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN134400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily