Healthcare Provider Details

I. General information

NPI: 1407811755
Provider Name (Legal Business Name): CHRISTOPHER JOE SEXTON ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TIMOTHY CHRISTOPHER JOE SEXTON

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3161 SILVER MAPLE DR
CANTONMENT FL
32533-8473
US

IV. Provider business mailing address

3161 SILVER MAPLE DR
CANTONMENT FL
32533-8473
US

V. Phone/Fax

Practice location:
  • Phone: 850-501-8050
  • Fax:
Mailing address:
  • Phone: 850-501-8050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP11004109
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: