Individual
CHRISTY HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 101, ABINGDON, VA 24211-7664
(276) 258-1777
(276) 258-1778
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 101, ABINGDON, VA 24211-7664
(276) 258-1777
(276) 258-1778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366820508
—
VA
01
—
P01539084
RAILROAD MEDICARE
VA
05
—
Q015072
—
TN
Enumeration date
05/07/2015
Last updated
02/06/2017
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