Individual provider · Type 1 NPI

Mallory Lane Henry, PA

Physician Assistant · St. Louis, MO

NPI number 1851617526 Active

Practice location

1600 S Brentwood Blvd, Div Neurology General, Ste 600
St. Louis, MO 63144-1320

Call (314) 362-1408 Map

Fax (314) 362-0338

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2013012266 (MO)

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 1851617526

Mallory Lane Henry, PA's National Provider Identifier is 1851617526, issued on Apr 20, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.