Dr JENNIFER R HERNDON is a female medical professional, specializing in Physician Assistant. She graduated in 2009.
SOUTHEASTERN PHYSICIAN SERVICES PC
1441 CHARIC DR
BALLWIN
MO
630212001
Tel: 6363942522
| Npi | 1629217690 |
| Pac Id | 8527117035 |
| Professional Enrollment Id | I20090603000538 |
| Last Name | HERNDON |
| First Name | JENNIFER |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Group Practice Pac Id | 0042307852 |
| Number Of Group Practice Members | 258 |
| Line 1 Street Address | 1441 CHARIC DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BALLWIN |
| State | MO |
| Zip Code | 630212001 |
| Phone Number | 6363942522 |
| Hospital Affiliation Ccn 1 | 260191 |
| Hospital Affiliation Lbn 1 | BARNES-JEWISH ST PETERS HOSPITAL |
| Hospital Affiliation Ccn 2 | 260180 |
| Hospital Affiliation Lbn 2 | CHRISTIAN HOSPITAL NORTHEAST |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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