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

Mrs. Mallory Jean Henson, PA

Individual provider Physician Assistant · NPI 1043856701

Mrs. Mallory Jean Henson, PA is a Physician Assistant in Maryville, Illinois. Qualified in 2019, 7 years ago. Practices with Midwest Inpatient Anderson Health Inc, a 48-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6800 State Route 162 Ste 200
Maryville, IL 62062-8521
Phone: (618) 288-0900
Fax: (618) 288-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2 Memorial Dr Ste 102, Alton, IL 62002-6723 — (618) 288-0900
  • 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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007315 (IL)

Record details

NPI number1043856701
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 18, 2019
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Midwest Inpatient Anderson Health Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Maryville