Individual provider · Type 1 NPI

Breezy Nikkia Henderson

Pediatric Registered Nurse · Summerville, GA

NPI number 1639032857 Active

Practice location

565 Riverbluff Dr
Summerville, GA 30747-8522

Call (706) 844-7979 Map

Fax (706) 844-7979

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200XRN326115 (GA)

Pediatric Registered Nurse: Definition to come...

About NPI 1639032857

Breezy Nikkia Henderson's National Provider Identifier is 1639032857, issued on Dec 4, 2025. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Summerville, GA. The record was last updated on Dec 4, 2025.