Organization · Type 2 NPI

Deaconess Clinic, Inc

Nurse Practitioner · Jasper, IN

NPI number 1013890250 Active

Practice location

1025 1st Ave W
Jasper, IN 47546-3217

Fax (812) 559-3001

Mailing address

PO Box 631767
Cincinnati, OH 45263-1767

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013890250

Deaconess Clinic, Inc's National Provider Identifier is 1013890250, issued on Jul 28, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jasper, IN. The record was last updated on Jul 28, 2025.