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

Individual provider Contractor · NPI 1063906741

Mrs. McKenzie Nicole Herndon, BSW is a Contractor in Valdosta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

4141 Old Ivy Trce
Valdosta, GA 31605-5718
Phone: (229) 561-3920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1063906741
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSW
Sole proprietorYes
NPI enumeratedJune 18, 2018
Last updated in NPPESJune 18, 2018

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