Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deaconess Clinic Inc

Organization Physician Assistant · NPI 1053010637

Deaconess Clinic Inc is a Physician Assistant in Evansville, Indiana. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5230 E Division St
Evansville, IN 47715-3224
Phone: (812) 490-1140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1053010637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
NPI enumeratedMarch 2, 2023
Last updated in NPPESMarch 2, 2023
Certification dateFebruary 28, 2023
Mailing addressPo Box 631767, Cincinnati, OH 45263-1767

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