Provider Demographics
NPI:1184606519
Name:SEXTON, KAREN L (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:L
Last Name:SEXTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 FOX RUN LN
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37030-1781
Mailing Address - Country:US
Mailing Address - Phone:615-683-3400
Mailing Address - Fax:615-683-3402
Practice Address - Street 1:8 NEW MIDDLETON HWY
Practice Address - Street 2:SUITE A
Practice Address - City:GORDONSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38563-6516
Practice Address - Country:US
Practice Address - Phone:615-683-3400
Practice Address - Fax:615-683-3402
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA577363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4109590OtherBCBST
TN3666843Medicaid
TNS33950Medicare UPIN
TN3666843Medicare ID - Type Unspecified