Provider Demographics
NPI:1407811755
Name:SEXTON, CHRISTOPHER JOE (ARNP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JOE
Last Name:SEXTON
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:TIMOTHY CHRISTOPHER
Other - Middle Name:JOE
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2016 STONEGATE TRAIL
Mailing Address - Street 2:SUITE 112
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2260
Mailing Address - Country:US
Mailing Address - Phone:205-545-9530
Mailing Address - Fax:205-545-9530
Practice Address - Street 1:50 MEDICAL PARK DR E
Practice Address - Street 2:ST. VINCENT'S EAST
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3401
Practice Address - Country:US
Practice Address - Phone:205-545-9530
Practice Address - Fax:205-545-9529
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9227102363L00000X
AL1-093624363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC141OtherBCBS
AL529905830Medicaid
AL351890800OtherDEPT OF LABOR
AL529910000Medicaid
AL891017453Medicaid
ALCH5239OtherRR MEDICARE
ALI756Medicare PIN
AL529905830Medicaid
ALC141OtherBCBS