Provider Demographics
NPI:1922349315
Name:SEXTON, TESSA MARKUM (ARNP)
Entity Type:Individual
Prefix:
First Name:TESSA
Middle Name:MARKUM
Last Name:SEXTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:TESSA
Other - Middle Name:KAREN
Other - Last Name:MARKUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1005 MAR WALT DRIVE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6796
Mailing Address - Country:US
Mailing Address - Phone:850-863-8260
Mailing Address - Fax:850-862-6098
Practice Address - Street 1:1032 MAR WALT DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6796
Practice Address - Country:US
Practice Address - Phone:850-863-8260
Practice Address - Fax:850-862-6098
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9353357363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner