Healthcare Provider Details

I. General information

NPI: 1730071978
Provider Name (Legal Business Name): JAMES PHILIP SEXSION FNP-MSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 LOMAX ST
JACKSONVILLE FL
32204-4015
US

IV. Provider business mailing address

72 NEWFIELD WAY
SAINT AUGUSTINE FL
32092-3262
US

V. Phone/Fax

Practice location:
  • Phone: 904-355-6583
  • Fax:
Mailing address:
  • Phone: 904-505-9027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11040413
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: