# BRANDY DAVINA HENDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316452253
- **Gender:** F
- **Credential:** RN,FNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | RP277614 | OH | — |
| 363LF0000X | Family Nurse Practitioner | CNP.026361 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.026361 | OH | Yes |

## Other

- **Enumeration date:** 12/13/2017
- **Last updated:** 02/23/2026