Provider Demographics
NPI:1922732841
Name:SERGEANT, CHRISTY ALEXIS (ACCNS-AG)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:ALEXIS
Last Name:SERGEANT
Suffix:
Gender:F
Credentials:ACCNS-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5465 SEMORA RD
Mailing Address - Street 2:
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27574-8431
Mailing Address - Country:US
Mailing Address - Phone:336-583-5474
Mailing Address - Fax:
Practice Address - Street 1:5465 SEMORA RD
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27574-8431
Practice Address - Country:US
Practice Address - Phone:336-583-5474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC542364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health