Healthcare Provider Details

I. General information

NPI: 1659777696
Provider Name (Legal Business Name): MICHELLE SEXTON RN, MSN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 N RIVERSIDE RD STE 203
SAINT JOSEPH MO
64507-2518
US

IV. Provider business mailing address

802 N RIVERSIDE RD STE 203
SAINT JOSEPH MO
64507-2502
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-4070
  • Fax: 816-385-8825
Mailing address:
  • Phone: 816-271-4070
  • Fax: 816-271-4070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2014037314
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: