Healthcare Provider Details
I. General information
NPI: 1255329595
Provider Name (Legal Business Name): MARGARET LYNNE SEXTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/11/2005
Last Update Date: 12/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3333 S PINNACLE HILLS PKWY STE 300A
ROGERS AR
72758-9000
US
IV. Provider business mailing address
3333 S PINNACLE HILLS PKWY STE 300A
ROGERS AR
72758-9000
US
V. Phone/Fax
- Phone: 479-338-4646
- Fax: 479-338-4650
- Phone: 479-338-4646
- Fax: 479-338-4650
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | A001862 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: