Healthcare Provider Details

I. General information

NPI: 1588111249
Provider Name (Legal Business Name): PAULA SEXTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 PINE LAKE RD
LINCOLN NE
68516-5489
US

IV. Provider business mailing address

3900 PINE LAKE RD STE 5
LINCOLN NE
68516-5489
US

V. Phone/Fax

Practice location:
  • Phone: 402-904-2327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number66980
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number112152
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: