Healthcare Provider Details

I. General information

NPI: 1093508954
Provider Name (Legal Business Name): ASHLEY MARIE SEXTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 CHRISTMAS TREE LN
KINGSTON MA
02364-1453
US

IV. Provider business mailing address

43 CHRISTMAS TREE LN
KINGSTON MA
02364-1453
US

V. Phone/Fax

Practice location:
  • Phone: 781-291-0747
  • Fax:
Mailing address:
  • Phone: 781-291-0747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN79544
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2349929
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: