Healthcare Provider Details

I. General information

NPI: 1538079595
Provider Name (Legal Business Name): KAYLIE ELIZABETH SEXTON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S NAPPANEE ST, ELKHART, IN 46514
ELKHART IN
46514
US

IV. Provider business mailing address

303 S NAPPANEE ST, ELKHART, IN 46514
ELKHART IN
46514
US

V. Phone/Fax

Practice location:
  • Phone: 574-296-3326
  • Fax:
Mailing address:
  • Phone: 574-296-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number28243474A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: