Healthcare Provider Details

I. General information

NPI: 1619852282
Provider Name (Legal Business Name): MELISSA SEXTON PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3090 W MARKET ST STE 119
FAIRLAWN OH
44333-3615
US

IV. Provider business mailing address

4354 W 229TH ST
FAIRVIEW PARK OH
44126-1837
US

V. Phone/Fax

Practice location:
  • Phone: 440-234-8746
  • Fax:
Mailing address:
  • Phone: 440-596-8481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0039532
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: