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DEACONESS CLINIC INC NPI 1457843815


NPI Information

NPI: 1457843815
Provider Name: DEACONESS CLINIC INC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 18D2121422

Address:
2710 HEARTLAND CROSSING BLVD
OWENSBORO, KY
ZIP 42303
Phone: (270) 926-3774
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DEACONESS CLINIC INC is a nurse practitioner in Owensboro, KY. The provider is (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. DEACONESS CLINIC INC NPI is 1457843815. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2710 HEARTLAND CROSSING BLVD
OWENSBORO, KY
ZIP 42303
Phone: (270) 926-3774
Fax: (270) 478-1417

The provider's authorized official is Cheryl Annette Wathen .
The authorized official title is Cfo and has the following contact phone number (812) 450-3296.

The CLIA number assigned to this NPI record is 18D2121422 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2018 and was last updated on 8/13/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.