NPI 1003645698

Samantha Henderson

Practitioner Certified Registered Nurse Anesthetist Woodstock, GA

Practice location

Address: 104 Kayse CT, Woodstock, GA 30188-2320
Phone: (404) 401-7971

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 283588 (GA)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Registry record

NPI: 1003645698
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2024
Record last updated: 21 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.