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

Dr. Kelley Marie Henson, NP

Individual provider Pediatric Nurse Practitioner · NPI 1205060415

Dr. Kelley Marie Henson, NP is a Pediatric Nurse Practitioner in Cannon AFB, New Mexico. Licensed in Tennessee and Virginia. Registered with an NPI since 2009.

Licensed in
TN, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

224 W D L Ingram Ave Bldg 1408
Cannon AFB, NM 88103
Phone: (757) 225-6611
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 0024169514 (VA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence APN13239 (TN)

Record details

NPI number1205060415
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 4, 2009
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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