Individual provider · Type 1 NPI
Mallory Jean Henson, PA
Physician Assistant · Maryville, IL
Practice location
6800 State Route 162 Ste 200
Maryville, IL 62062-8521
Fax (618) 288-0909
Mailing address
12855 N 40 Dr Ste 375
St. Louis, MO 63141-8657
Other practice locations
- 326 Fountains Pkwy, Fairview Heights, IL 62208-2041 · (618) 277-3109
- 3 Saint Elizabeth Blvd Ste 3200, O Fallon, IL 62269-1281 · (618) 489-8030
- 2 Memorial Dr Ste 102, Alton, IL 62002-6723 · (618) 288-0900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 085007315 (IL) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1043856701
Mallory Jean Henson, PA's National Provider Identifier is 1043856701, issued on Nov 18, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maryville, IL. The record was last updated on Aug 15, 2023.