Holly Jo Henderson, MPT is a medicare enrolled "Nurse Practitioner - Family" in Palmyra, Missouri. She went to Southern Illinois University School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blessing Hospital and her current practice location is
6996 County Road 326, Palmyra, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 769-3710.
Holly Jo Henderson is licensed to practice in Missouri (license number 2019032288) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710034954.
Provider's Profile
| Full Name | Holly Jo Henderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 6996 County Road 326, Palmyra, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Holly Jo Henderson attended and graduated from Southern Illinois University School Of Medicine in 2019
NPI Data:
- NPI Number: 1710034954
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 09/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 5496991457
- Enrollment ID: I20201030000880
Medical Identifiers
Medical identifiers for Holly Jo Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710034954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2019032288 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Blessing Hospital | 3072422534 | 414 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Jo Henderson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Holly Jo Henderson, MPT
1005 Broadway St,
Quincy, IL 62301-2834
Ph: (217) 223-8400 | Holly Jo Henderson, MPT
6996 County Road 326,
Palmyra, MO 63461-3119
Ph: (573) 769-3710 |
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