Individual
MRS. BREEZY NIKKIA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 RIVERBLUFF DR, SUMMERVILLE, GA 30747-8522
(706) 844-7979
(706) 844-7979
Mailing address
565 RIVERBLUFF DR, SUMMERVILLE, GA 30747-8522
(706) 844-7979
(706) 844-7979
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN326115
GA
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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