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MRS. TERRI TONISHA VAN DORN NP (ACNP-BC)
NPI 1124363577
Nurse Practitioner in Conyers, GA

Active since December 11, 2012
1901 HONEY CREEK COMMONS SE, CONYERS, GA 30013(678) 413-3752(678) 413-3751 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Terri Tonisha Van Dorn Np (acnp-bc) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TERRI TONISHA VAN DORN NP (ACNP-BC) (NPI 1124363577) is an individual nurse practitioner in Conyers, Georgia, licensed in Georgia (RN195252) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1124363577
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TERRI TONISHA VAN DORNCredential: NP (ACNP-BC)
Location Address1901 HONEY CREEK COMMONS SEConyers, GA 30013-5806
Mailing Address497 Winn Way, Suite A-20Decatur, GA 30030-1712 · (404) 294-7033 · Fax (404) 296-4661
Phone(678) 413-3752
Fax(678) 413-3751
Sole ProprietorNo
Enumeration DateDecember 11, 2012
Last NPPES UpdateOctober 27, 2014
✔ NPI 1124363577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN195252
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN195252 (GA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN195252 (GA)
1901 HONEY CREEK COMMONS SE, Conyers, GA 30013
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Other Names 1

Former Name (1)Terri Tonisha Moore Np (acnp-bc)

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terri Van Dorn's NPI number?

The NPI number for Terri Van Dorn is 1124363577. It was assigned to this individual provider in the NPPES registry on December 11, 2012. The provider is also known as Terri Tonisha Moore Np (acnp-Bc).

Where is Terri Van Dorn located?

Terri Van Dorn practices at 1901 Honey Creek Commons SE, Conyers, GA 30013. The listed phone number is (678) 413-3752.

What is Terri Van Dorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Terri Van Dorn was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.