| NPI | 1124794979 |
|---|---|
| Doing Business As | DEACONESS HENDERSON SLEEP CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JENKINS VP 270-827-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-23 |