@jeffwestfahl
hard to tell without screenshot, but i remember a similar problem and possible solution posted here some time ago.
maybe (hopefully) just your windows dpi scaling was changed by the drivers.
to test this exit notepad++
run following command line, start menu search field, in the run menu or in cmd:
%windir%\System32\DpiScaling.exe
then check that you are on 100% scaling
restart notepad++
if it already was on 100% or it doesn’t get better, repeat and play around with a different dpi scaling % factor to see if you can get close to the tab/font size you were used to.
(also combine different dpi settings with switching the reduce tab bar option inside notepad++ off and on again)