JOHN DOUGLAS WATHEN RN BSN MSN PMHNP NPI 1316562499

NPI Information

NPI: 1316562499
Provider Name: JOHN DOUGLAS WATHEN, RN, BSN, MSN, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
415 MULBERRY ST
EVANSVILLE, IN
ZIP 47713
Phone: (812) 423-7791
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John Douglas Wathen, RN, BSN, MSN, PMHNP is a psychiatric/mental health nurse practitioner in Evansville, IN with 4 years of experience. John Douglas Wathen, RN, BSN, MSN, PMHNP NPI is 1316562499. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 MULBERRY ST
EVANSVILLE, IN
ZIP 47713-230
Phone: (812) 423-7791

The NPI 1316562499 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2020 and was last updated on 10/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	28209048A	INDIANA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	71010207A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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