Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Jo Henderson, MPT

Individual provider Family Nurse Practitioner · NPI 1710034954

Holly Jo Henderson, MPT is a Nurse Practitioner in Golden, Illinois. Graduated from Southern Illinois University School of Medicine in 2019, 7 years ago. Practices with Blessing Hospital, a 413-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

102 Prairie Mills Rd
Golden, IL 62339-1055
Phone: (217) 696-4446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209020158 (IL)

Record details

NPI number1710034954
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Blessing Hospital — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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