Provider Demographics
NPI:1003406109
Name:TORMOHLEN, SHONDA ELAINE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SHONDA
Middle Name:ELAINE
Last Name:TORMOHLEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 2ND AVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091
Mailing Address - Country:US
Mailing Address - Phone:931-422-5029
Mailing Address - Fax:931-422-5229
Practice Address - Street 1:118 2ND AVE SOUTH
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091
Practice Address - Country:US
Practice Address - Phone:931-422-5029
Practice Address - Fax:931-422-5229
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000028633363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily