NPI 1952920852 · live from the CMS NPI Registry
Deaconess Clinic, INC
Family Medicine in Henderson, KY. National Provider Identifier 1952920852, active.
NPI record
| NPI | 1952920852 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1413 N Elm St Ste 201, Henderson, KY 42420 |
| Practice phone | 270-827-8662 |
| Mailing address | Po Box 1510, Evansville, IN 47706 |
| Enumerated | April 10, 2020 |
| Last updated | December 16, 2020 |
| Authorized official | Cheryl Wathen, Cfo |
| Other names | Deaconess Clinic Atkinson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.