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

Deaconess Clinic, Inc

Organization Physician Assistant · NPI 1174384192

Deaconess Clinic, Inc is a Physician Assistant in Princeton, Indiana. Registered with an NPI since 2024.

In the registry since
2024
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

1414 W Broadway St
Princeton, IN 47670-1142
Phone: (812) 385-9397
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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 number1174384192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 10, 2024
Mailing addressPo Box 3366, Evansville, IN 47732-3366

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