Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Dawn Herndon, APN

Individual provider Nurse Practitioner · NPI 1265548986

Angela Dawn Herndon, APN is a Nurse Practitioner in Breese, Illinois. Qualified in 2005, 21 years ago. Practices with Advantage Physical Medicine PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2006
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

397 N Plum St
Breese, IL 62230-9998
Phone: (618) 526-4700
Fax: (618) 566-7121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 041328145 (IL)

Record details

NPI number1265548986
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Advantage Physical Medicine Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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