IndividualActive
Breezy Henderson
NPI 1639032857 · Pediatric Registered Nurse · Summerville, GA
Provider details
- NPI number
- 1639032857
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN326115 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
565 Riverbluff Dr
Summerville, GA 30747-8522
Phone: (706) 844-7979
Fax: (706) 844-7979
Approximate (ZIP-level) locationGet directions
Mailing address
565 Riverbluff Dr
Summerville, GA 30747-8522
Registry dates
- Enumerated
- 2025-12-04
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.