Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Deaconess Clinic Inc

Organization Nurse Practitioner · NPI 1275289621

Deaconess Clinic Inc provides Nurse Practitioner services in Henderson, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
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

1305 N Elm St
Henderson, KY 42420-2783
Phone: (270) 215-3154
Fax: (812) 450-0080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1275289621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
Other names Deaconess Clinic Derm Henderson
NPI enumeratedFebruary 24, 2022
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026
Mailing addressPo Box 631767, Cincinnati, OH 45263-1767

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