Healthcare Provider Details

I. General information

NPI: 1649653163
Provider Name (Legal Business Name): JANEYNE SEXTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 07/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2541 CECIL B MOORE AVE
PHILADELPHIA PA
19121-2849
US

IV. Provider business mailing address

2541 CECIL B MOORE AVE
PHILADELPHIA PA
19121-2849
US

V. Phone/Fax

Practice location:
  • Phone: 267-973-0039
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: