DEACONESS CLINC INC
NPI 1295591634
Nurse Practitioner in Marion, IL

Active since February 23, 2024
3329 W DEYOUNG ST, MARION, IL 62959(812) 450-6966 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deaconess Clinc Inc NPPES

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

DEACONESS CLINC INC (NPI 1295591634), doing business as Deaconess Clinic - At Work Marion, is a healthcare organization registered as a nurse practitioner in Marion, Illinois and active in the NPI registry since February 2024. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295591634
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDEACONESS CLINC INC
Location Address3329 W DEYOUNG STMarion, IL 62959-5884
Mailing AddressPo Box 631767Cincinnati, OH 45263-1767
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
NPI 1295591634 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
3329 W DEYOUNG ST, Marion, IL 62959

Other Names 1

Doing Business AsDeaconess Clinic - At Work Marion

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
3329 W DEYOUNG ST
MARION, IL 62959
Podiatrist (Foot & Ankle Surgery)
3329 W DEYOUNG ST
MARION, IL 62959
Orthopaedic Surgery
3329 W DEYOUNG ST
MARION, IL 62959
Family Medicine
3329 W DEYOUNG ST
MARION, IL 62959

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 Clinc Inc's NPI number?

The NPI number for Deaconess Clinc Inc is 1295591634. It was assigned to this organization in the NPPES registry on February 23, 2024. The provider is doing business as Deaconess Clinic - At Work Marion.

Where is Deaconess Clinc Inc located?

Deaconess Clinc Inc is located at 3329 W Deyoung St, Marion, IL 62959. The listed phone number is (812) 450-6966.

What is Deaconess Clinc 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 Clinc Inc was last updated on February 23, 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.