Provider Demographics
NPI:1710105598
Name:SEXTON, JOHN CARROLL (FNP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CARROLL
Last Name:SEXTON
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 OLD HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1154
Mailing Address - Country:US
Mailing Address - Phone:828-285-9725
Mailing Address - Fax:828-285-9672
Practice Address - Street 1:1710 OLD HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1154
Practice Address - Country:US
Practice Address - Phone:828-285-9725
Practice Address - Fax:828-285-9672
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC110418363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner