Deaconess Clinic INC

NPI #1447841341 in Henderson, Kentucky

Provider Information

NPI Number: 1447841341
Entity Type: Organization
Organization Name: Deaconess Clinic INC
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 2, 2021
Last Updated: Feb 2, 2021

Practice Location

Address: 1162 BARRET BLVD
City: Henderson
State: Kentucky
ZIP Code: 42420
Phone: (812) 450-6966

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X	Primary

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