Individual
THERESA MARY SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
142 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 558-0092
(855) 269-6611
Mailing address
142 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 558-0092
(855) 269-6611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN19435
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
19435
SC
363LP0200X
Pediatric Nurse Practitioner
ARNP1755352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305312100
—
FL
05
—
308333100
—
FL
05
—
NP4377
—
SC
Enumeration date
09/01/2006
Last updated
07/25/2022
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