Deaconess Clinic INC

NPI #1922899988 in Jasper, Indiana

Provider Information

NPI Number: 1922899988
Entity Type: Organization
Organization Name: Deaconess Clinic INC
Primary Specialty: Family Medicine
Enumeration Date: May 16, 2025
Last Updated: May 16, 2025

Practice Location

Address: 966 BARTLEY ST
City: Jasper
State: Indiana
ZIP Code: 47546-2641
Phone: (812) 996-7810

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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