Provider Demographics
NPI:1316736010
Name:HERNDON, ERIN C (NP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:C
Last Name:HERNDON
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:C
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1010 S MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TIPTON
Mailing Address - State:IN
Mailing Address - Zip Code:46072-9806
Mailing Address - Country:US
Mailing Address - Phone:765-675-1400
Mailing Address - Fax:765-675-1401
Practice Address - Street 1:1010 S MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:IN
Practice Address - Zip Code:46072-9806
Practice Address - Country:US
Practice Address - Phone:765-675-1400
Practice Address - Fax:765-675-1401
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71016535A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily