Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BREEZY NIKKIA HENDERSON
Active Sole ProprietorMRS. BREEZY NIKKIA HENDERSON is a Pediatric Nurse healthcare provider located in SUMMERVILLE, Georgia. NPI 1639032857 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse · SUMMERVILLE, GA
Registration Details
- NPI Number
- 1639032857
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2025 (0.70824673338898 yrs)
- Last Updated
- Dec 4, 2025
- License
-
RN326115 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
565 RIVERBLUFF DRSUMMERVILLE, GA, 307478522Browse GA providers · Browse ZIP 30747
- Phone
- 7068447979
- Fax
- 7068447979
- Primary Specialty
-
Pediatric Nurse
163WP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.