CHAQUITA HENDERSON AGPCNP NPI 1942651005

NPI Information

  • NPI: 1942651005
  • Provider Name: CHAQUITA HENDERSON, AGPCNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 107 PINE DR
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 434-0960

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NPI Details

Chaquita Henderson, AGPCNP is a psychiatric/mental health nurse practitioner in Hattiesburg, MS with 12 years of experience. Chaquita Henderson, AGPCNP NPI is 1942651005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

107 PINE DR
HATTIESBURG, MS
ZIP 39401-409
Phone: (601) 434-0960

The NPI 1942651005 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2016 and was last updated on 3/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health901493MISSISSIPPINo
2363LA2200XNurse PractitionerAdult Health901493MISSISSIPPINo
3363LA2200XNurse PractitionerAdult HealthAP08972LOUISIANANo
4363LG0600XNurse PractitionerGerontology901493MISSISSIPPINo
5363LG0600XNurse PractitionerGerontologyAP08972LOUISIANANo
6363LP2300XNurse PractitionerPrimary Care901493MISSISSIPPINo
7363LP0808XNurse PractitionerPsychiatric/Mental Health901493MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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