Deaconess Clinc INC

NPI #1518501675 in Henderson, Kentucky

Provider Information

NPI Number: 1518501675
Entity Type: Organization
Organization Name: Deaconess Clinc INC
Primary Specialty: Nurse Practitioner
Enumeration Date: Nov 1, 2019
Last Updated: Nov 1, 2019

Practice Location

Address: 2242 US HIGHWAY 41 N
City: Henderson
State: Kentucky
ZIP Code: 42420-2375
Phone: (270) 844-8515

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X	Primary

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