DEACONESS CLINIC, INC
NPI 1174384192
Nurse Practitioner in Princeton, IN

Active since January 17, 2024
1414 W BROADWAY ST, PRINCETON, IN 47670(812) 385-9397 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deaconess Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS CLINIC, INC (NPI 1174384192) is a healthcare organization registered as a nurse practitioner in Princeton, Indiana and active in the NPI registry since January 2024. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174384192
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address1414 W BROADWAY STPrinceton, IN 47670-1142
Mailing AddressPo Box 3366Evansville, IN 47732-3366 · (812) 450-7455
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 10, 2024
NPI 1174384192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedPhysician AssistantTaxonomy 363A00000X
1414 W BROADWAY ST, Princeton, IN 47670

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1414 W BROADWAY ST
PRINCETON, IN 47670
Nurse Practitioner
1414 W BROADWAY ST
PRINCETON, IN 47670
Nurse Practitioner
1414 W BROADWAY ST
PRINCETON, IN 47670
Nurse Practitioner
1414 W BROADWAY ST
PRINCETON, IN 47670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Clinic, Inc's NPI number?

The NPI number for Deaconess Clinic, Inc is 1174384192. It was assigned to this organization in the NPPES registry on January 17, 2024.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 1414 W Broadway St, Princeton, IN 47670. The listed phone number is (812) 385-9397.

What is Deaconess Clinic, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Deaconess Clinic, Inc was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.