HOLLY JO HENDERSON


Address: 102 Prairie Mills Rd, Golden, IL 62339-1055
Phone: 2176964446

HOLLY JO HENDERSON (NPI# 1710034954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710034954
Entity Type Individual
Full Name HOLLY JO HENDERSON
Credential MPT
Practice Address 102 Prairie Mills Rd
Golden
IL 62339-1055
Mailing Address 183 Saturn Dr
Hannibal
MO 63401-2398
Practice Telephone 2176964446
Mailing Telephone 5737950849
Enumeration Date 2007-01-03
Last Update Date 2020-01-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209020158 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers HOLLY HENDERSON

NPI Name Taxonomy Address Enumeration
1225658180 Holly A Henderson Counselor 600 40th St N Apt 208, St Petersburg, FL 33713-6340 2020-04-21
1811389620 Holly Jo Henderson Counselor 1701 Townsend St, Cassville, MO 65625-1451 2015-03-03
1891138541 Holly Norma Henderson Social Worker 516 S Creyts Rd, Ste F, Lansing, MI 48917-8268 2013-04-12
1720692080 Holly Henderson Counselor 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 2020-09-03

Office Location

Street Address 102 PRAIRIE MILLS RD
City GOLDEN
State IL
Zip Code 62339-1055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629099197 Denman Country Drug Pharmacist 102 Prairie Mills Rd, Golden, IL 62339-0070 2006-07-21
1003432964 Tracy Lynn Kurfman Physical Therapy Assistant 102 Prairie Mills Rd, Golden, IL 62339-1055 2020-06-17
1609213206 Patricia Ann Steffen Nurse Practitioner 102 Prairie Mills Rd, Golden, IL 62339-1055 2013-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245392349 Blessing Hospital Clinic/Center 102 Praire Mills Road, Golden, IL 62339 2006-12-14
1922109735 Donna Gail Nurse Practitioner 102 Praire Mills Road, Golden, IL 62339 2006-09-26
1437473394 Lindsey Dyan Stephens Speech-Language Pathologist 306 W. 3rd St., Golden, IL 62339-0021 2010-03-22
1326661166 Jacqueline Evonne Hildebrand Behavioral Analyst 301 Albers St, Golden, IL 62339-1006 2020-05-27
1083238729 Atlas Behavior Services Behavioral Analyst 301 Albers St, Golden, IL 62339-1006 2020-05-28
1134162399 Golden Good Shepherd Home Skilled Nursing Facility 101 Prairie Mills Rd, Golden, IL 62339-1016 2006-06-14
1457546277 Carrie R. Cook Physical Therapist 101 Prairie Mills Rd, Golden, IL 62339-1016 2007-09-14
1639364979 Caremark Rehab, Ltd. Occupational Therapist 101 Prairie Mills Rd, Golden, IL 62339-1016 2007-09-10
1275726952 Mark D Leverenz Occupational Therapist 101 Prairie Mills Rd, Golden, IL 62339-1016 2007-08-25
1205138955 Laura Tenhouse Developmental Therapist 513 Warsaw St, Golden, IL 62339-1051 2010-12-01
Find all providers in zip 62339

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750832093 Sonya Waganer Nurse Practitioner 14010 W 8th Ave, Golden, CO 80401-4517 2016-10-21
1760806673 Richard Adamson Nurse Practitioner 1707 Cole Blvd Ste 100, Golden, CO 80401-3219 2014-02-12
1235403254 Holly J Vali Nurse Practitioner 16713 W Archer Ave, Golden, CO 80401-6524 2012-03-08
1457561854 Anne Porter Wilfong Nurse Practitioner 1225 17th St, Golden, CO 80401-1824 2007-05-23
1891843363 Lisa Lees Nurse Practitioner 1278 Pomegranate Ln, Golden, CO 80401-9222 2007-01-08
1275134959 Ritu Patel Nurse Practitioner 400 Indiana St Ste 280, Golden, CO 80401-5069 2020-11-08
1174138523 Eliza Keating Slayman Nurse Practitioner 660 Golden Ridge Rd Ste 250, Golden, CO 80401-9541 2020-09-12
1689210221 Erni Ruslie Nurse Practitioner 755 Heritage Rd Ste 100, Golden, CO 80401-3600 2019-11-19
1316427495 Teresa Affrunti Nurse Practitioner 755 Heritage Rd Ste 100, Golden, CO 80401-3600 2018-08-17
1063920429 Erin Ramsay Nurse Practitioner 5920 Mcintyre St, Golden, CO 80403-7445 2018-01-18
Find all providers in GOLDEN

Competitor

Search similar providers

City GOLDEN
Zip Code 62339

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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