Individual provider · Type 1 NPI
Chaquita Henderson, AGPCNP
Psychiatric/Mental Health Nurse Practitioner · Hattiesburg, MS
NPI number
1942651005
Active
Practice location
107 Pine Dr
Hattiesburg, MS 39401-8409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 901493 (MS) |
| Adult Health Nurse Practitioner | 363LA2200X | 901493 (MS) |
| Adult Health Nurse Practitioner | 363LA2200X | AP08972 (LA) |
| Gerontology Nurse Practitioner | 363LG0600X | 901493 (MS) |
| Gerontology Nurse Practitioner | 363LG0600X | AP08972 (LA) |
| Primary Care Nurse Practitioner | 363LP2300X | 901493 (MS) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 901493 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942651005
Chaquita Henderson, AGPCNP's National Provider Identifier is 1942651005, issued on Jun 29, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hattiesburg, MS. The record was last updated on Mar 14, 2025.