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 1457824203

Deaconess Clinic Inc is a Family Medicine Physician in Fort Branch, Indiana. Registered with an NPI since 2019.

In the registry since
2019
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

7898 S Professional Dr
Fort Branch, IN 47648-8405
Phone: (812) 615-5019
Fax: (812) 615-5041
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 number1457824203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
NPI enumeratedJanuary 4, 2019
Last updated in NPPESMarch 13, 2019
Mailing addressPo Box 1510, Evansville, IN 47706-1510

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