Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Terri Tonisha Van Dorn, NPACNP-BC

Individual provider Nurse Practitioner · NPI 1124363577

Mrs. Terri Tonisha Van Dorn, NPACNP-BC is a Nurse Practitioner in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
3

Practice location Address checks out

1901 Honey Creek Commons SE
Conyers, GA 30013-5806
Phone: (678) 413-3752
Fax: (678) 413-3751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN195252 (GA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN195252 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN195252 (GA)

Record details

NPI number1124363577
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPACNP-BC
Sole proprietorNo
NPI enumeratedDecember 11, 2012
Last updated in NPPESOctober 27, 2014

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