Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MS. KIZZY HENDERSON NP
NPI 1902718083
Nurse Practitioner in Jonesboro, GA

Q: What is Kizzy Henderson's NPI number?

The NPI number for Kizzy Henderson is 1902718083. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Q: What is Kizzy Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kizzy Henderson was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2026

9743 BROOKSHIRE DR, JONESBORO, GA 30238(205) 837-2684 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Ms. Kizzy Henderson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIZZY HENDERSON NP (NPI 1902718083) is an individual nurse practitioner in Jonesboro, Georgia, licensed in Georgia (NP204975) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1902718083

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. KIZZY HENDERSONCredential: NP

Location Address9743 BROOKSHIRE DRJonesboro, GA 30238-4119

Mailing Address9743 Brookshire DrJonesboro, GA 30238-4119 · (205) 837-2684

Phone(205) 837-2684

Sole ProprietorNo

Enumeration DateSeptember 22, 2026

NPPES CertifiedSeptember 22, 2026

✔ NPI 1902718083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · NP204975

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9743 BROOKSHIRE DR, Jonesboro, GA 30238

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kizzy Henderson's NPI number?

The NPI number for Kizzy Henderson is 1902718083. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Where is Kizzy Henderson located?

Kizzy Henderson practices at 9743 Brookshire Dr, Jonesboro, GA 30238. The listed phone number is (205) 837-2684.

What is Kizzy Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kizzy Henderson was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.