Healthcare Provider Details

I. General information

NPI: 1124841507
Provider Name (Legal Business Name): RHONDA S SEXTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1338 STATE ROAD 8
AUBURN IN
46706-9541
US

IV. Provider business mailing address

1338 STATE ROAD 8
AUBURN IN
46706-9541
US

V. Phone/Fax

Practice location:
  • Phone: 260-570-2188
  • Fax:
Mailing address:
  • Phone: 260-570-2188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28181667A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: