Provider Demographics
NPI:1770846107
Name:MARTIN-SEXTON, DEBORAH SUSAN (FNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:SUSAN
Last Name:MARTIN-SEXTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S PINE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-3377
Mailing Address - Country:US
Mailing Address - Phone:864-590-6932
Mailing Address - Fax:864-949-3653
Practice Address - Street 1:900 S PINE ST
Practice Address - Street 2:AUITE A
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-3377
Practice Address - Country:US
Practice Address - Phone:864-590-6932
Practice Address - Fax:864-949-3653
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2016-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily