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

Dr. Governor Henry Henderson III, DNP

Individual provider Urology Physician · NPI 1538639497

Dr. Governor Henry Henderson III, DNP is a Nurse Practitioner in Sierra Vista, Arizona. Qualified in 2018, 8 years ago. Practices with Sierra Vista Regional Health Center Medical Group LLC, a 46-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Georgia.

Years since qualifying
8
Licensed in
AZ, GA
In the registry since
2018
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

75 Colonia De Salud # 200
Sierra Vista, AZ 85635-2487
Phone: (520) 263-2690
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN252065 (GA)
Urology Physician Taxonomy 208800000X · Licence RN252065 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 288860 (AZ)

Record details

NPI number1538639497
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorNo
NPI enumeratedDecember 4, 2018
Last updated in NPPESApril 1, 2023
Certification dateNovember 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sierra Vista Regional Health Center Medical Group Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Sierra Vista