Deaconess Clinic, INC
Nurse Practitioner in Hopkinsville, KY. Organization (NPI-2).
NPI number1699608380
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1699608380
- Entity type
- Organization (NPI-2)
- Legal business name
- Deaconess Clinic, INC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2026
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 207Q00000X | Family Medicine | – | – |
Practice location
114 Keeton DrHopkinsville, KY 42240-8756
Phone 812-450-7444
Mailing address
114 Keeton DrHopkinsville, KY 42240-8756
Authorized official
Cheryl Annette Wathen
Cfo
8124503296
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