Deaconess Clinic INC

NPI #1275289621 in Henderson, Kentucky

Provider Information

NPI Number: 1275289621
Entity Type: Organization
Organization Name: Deaconess Clinic INC
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 24, 2022
Last Updated: Feb 24, 2022

Practice Location

Address: 340 STARLITE DR
City: Henderson
State: Kentucky
ZIP Code: 42420-6102
Phone: (812) 492-5202

Authorized Official

Name: CHERYL ANNETTE WATHEN
Title: CFO
Phone: (812) 450-3296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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