Provider Demographics
NPI:1659645646
Name:SEXTON, JESSICA LEE (APN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEE
Last Name:SEXTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-5148
Mailing Address - Country:US
Mailing Address - Phone:931-722-3448
Mailing Address - Fax:931-722-9919
Practice Address - Street 1:1860 WAYNE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-5148
Practice Address - Country:US
Practice Address - Phone:931-722-3448
Practice Address - Fax:931-722-9919
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN16549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily