Individual provider · Type 1 NPI

Robert W. Deaton Jr., NP

Nurse Practitioner · Carbondale, IL

NPI number 1386750404 Active

Practice location

409 W Oak St
Carbondale, IL 62901-1464

Call (618) 529-4455 Map

Fax (618) 351-1287

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

3905 W Ernestine Dr, Marion, IL 62959-5800 · (618) 529-4455
100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 · (618) 529-4455
217 S Park Ave Ste 2, Herrin, IL 62948-3611 · (618) 529-4455

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	209004993 (IL)

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 1386750404

Robert W. Deaton Jr., NP's National Provider Identifier is 1386750404, issued on Aug 22, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carbondale, IL. The record was last updated on Mar 31, 2025.