Provider Demographics
NPI:1245404847
Name:SEXTON, JULIE M (CRNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:SEXTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:MANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1310 14TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4347
Mailing Address - Country:US
Mailing Address - Phone:256-353-5151
Mailing Address - Fax:256-351-9915
Practice Address - Street 1:1310 14TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4347
Practice Address - Country:US
Practice Address - Phone:256-353-5151
Practice Address - Fax:256-351-9915
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1106181363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily