Kizzy Henderson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP204975 Issued in GA

Practice address

9743 Brookshire Dr
Jonesboro, GA 30238-4119

Phone

(205) 837-2684

NPI assigned

Sep 22, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1902718083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9743 BROOKSHIRE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384119",
            "telephone_number": "205-837-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9743 BROOKSHIRE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384119",
            "telephone_number": "205-837-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KIZZY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NP204975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helious LLC
• Helixora Labs
• Help Foundation Inc. (Crossroads DUI School of Improvement)
• Phaciealeethas Hemmingway-Chandler, LPC, NCC
• Jasmine Henderson
• Jason Alan Henry, D.C.
• Henry's Personal Care Home Inc.
• Adriana P Hermida, MD
• Solange Hernandez
• Wanda Hernandez, M.S.

• Nurse Practitioner in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.