Provider Demographics
NPI:1407811755
Name:SEXTON, CHRISTOPHER JOE (ARNP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JOE
Last Name:SEXTON
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:TIMOTHY CHRISTOPHER
Other - Middle Name:JOE
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3161 SILVER MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533-8473
Mailing Address - Country:US
Mailing Address - Phone:850-501-8050
Mailing Address - Fax:
Practice Address - Street 1:3161 SILVER MAPLE DR
Practice Address - Street 2:
Practice Address - City:CANTONMENT
Practice Address - State:FL
Practice Address - Zip Code:32533-8473
Practice Address - Country:US
Practice Address - Phone:850-501-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP11004109363LA2200X
AL1-093624363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529905830Medicaid
ALC141OtherBCBS
ALCH5239OtherRR MEDICARE
AL891017453Medicaid
AL351890800OtherDEPT OF LABOR
AL529910000Medicaid
ALI756Medicare PIN
AL529905830Medicaid
ALC141OtherBCBS