Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chaquita Henderson, AGPCNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1942651005

Chaquita Henderson, AGPCNP is a Psychiatric/Mental Health Registered Nurse in Hattiesburg, Mississippi. Practices as a sole proprietor. Licensed in Louisiana and Mississippi.

Licensed in
LA, MS
In the registry since
2016
Specialties on file
7

Practice location Address checks out

107 Pine Dr
Hattiesburg, MS 39401-8409
Phone: (601) 434-0960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 901493 (MS)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 901493 (MS)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 901493 (MS)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP08972 (LA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 901493 (MS)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP08972 (LA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 901493 (MS)

Record details

NPI number1942651005
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedJune 29, 2016
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

Other providers in Hattiesburg