Healthcare Provider Details
I. General information
NPI: 1346938149
Provider Name (Legal Business Name): LAUREN SEXSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/28/2023
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
912 CENTRAL AVE
GRANT NE
69140-3099
US
IV. Provider business mailing address
912 CENTRAL AVE
GRANT NE
69140-3099
US
V. Phone/Fax
- Phone: 308-352-7100
- Fax: 308-352-7103
- Phone: 308-352-7100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 88768 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 114813 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: