Herndon, Bianca Roberta

Herndon, Bianca Roberta is an individual health care provider with primary practice located at Bldg 5979 Desert Storm Ave Lapointe Health Clinic, Fort Campbell KY 42223-5349. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Herndon, Bianca Roberta can be contacted via phone (270) 956-0302.

Contact Information

Primary practice address
Bldg 5979 Desert Storm Ave Lapointe Health Clinic Fort Campbell KY 42223-5349
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 66744 Tennessee

Profile Details

NPI number 1003864422
LBN Legal business name Herndon, Bianca Roberta
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 8th, 2009 - about 16 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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