Herndon, Christy

Herndon, Christy is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr Suite 101, Abingdon VA 24211-7664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Herndon, Christy can be contacted via phone (276) 258-1777.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Suite 101 Abingdon VA 24211-7664
Fax: (276) 258-1778
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024172504 Virginia

Profile Details

NPI number 1366820508
LBN Legal business name Herndon, Christy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2015
Last updated Feb 6th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366820508 NPPES
Virginia MEDICAID 1366820508
Virginia MEDICAID Q015072
Virginia Other P01539084

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