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

Deaconess Clinic, Inc

Organization Family Medicine Physician · NPI 1285039420

Deaconess Clinic, Inc is a Family Medicine Physician in Princeton, Indiana. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3
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) 385-5283
Fax: (812) 385-5274
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1285039420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
NPI enumeratedOctober 30, 2014
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024
Mailing addressPo Box 631767, Cincinnati, OH 45263-1767

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