Individual
ANGELA DAWN HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
397 NORTH PLUM STREET, BREESE, IL 62230-9998
(618) 526-4700
(618) 566-7121
Mailing address
397 NORTH PLUM STREET, BREESE, IL 62230-9998
(618) 526-4700
(618) 566-7121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041328145
IL
Other
Enumeration date
08/23/2006
Last updated
09/20/2024
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