Individual
HOLLY HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1051 KINGSHIGHWAY ST STE 5, ROLLA, MO 65401-2981
(573) 364-8511
(573) 739-4360
Mailing address
1051 KINGSHIGHWAY ST STE 5, ROLLA, MO 65401-2981
(573) 364-8511
(573) 739-4360
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
2013023771
MO
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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