Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MALLORY JEAN HENSON, PA
ActiveMRS. MALLORY JEAN HENSON, PA is a Physician Assistant healthcare provider located in MARYVILLE, Illinois. NPI 1043856701 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MARYVILLE, IL
Registration Details
- NPI Number
- 1043856701
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2019 (6.5510967156874 yrs)
- Last Updated
- Aug 15, 2023
- License
-
085007315 (IL)
Practice Information
- Address
-
6800 STATE ROUTE 162 STE 200MARYVILLE, IL, 620628521Browse IL providers · Browse ZIP 62062
- Phone
- 6182880900
- Fax
- 6182880909
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MARYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| SAMUEL A BAILEY | PA | 1891778254 |
| KIMBERLY M SCHNEIDER | PA | 1891092474 |
| JESSICA LEIGH GIBSON | PA-C | 1164844387 |
| MICHAEL BARAJAS | PA | 1114454733 |
| MRS. EMILY LYNNE HILTON | PA | 1912414327 |
| NATALIE ANN RITZHEIMER | PA | 1356821383 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.