Individual provider · Type 1 NPI

Susan C. Herndon, NP

Gerontology Nurse Practitioner · Charlottesville, VA

NPI number 1114432812 Active

Practice location

1240 Lee St
Charlottesville, VA 22908-0817

Fax (434) 244-7526

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 659 Hospital Rd, Tappahannock, VA 22560-7000 · (804) 443-6137
  • 17452 Richmond Road, Callao, VA 22435 · (804) 529-6141

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X0024175057 (VA)
Critical Care Medicine (Anesthesiology) Physician 207LC0200X0024175057 (VA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1114432812

Susan C. Herndon, NP's National Provider Identifier is 1114432812, issued on Dec 5, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 29, 2026.