Healthcare Provider Details

I. General information

NPI: 1851799902
Provider Name (Legal Business Name): ELLEN SCHOENLE SEXTON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2014
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 CAROTHERS PKWY SUITE 375
FRANKLIN TN
37067-5976
US

IV. Provider business mailing address

3024 BUSINESS PARK CIR
GOODLETTSVILLE TN
37072-3132
US

V. Phone/Fax

Practice location:
  • Phone: 615-791-4790
  • Fax: 615-791-4531
Mailing address:
  • Phone: 615-851-6033
  • Fax: 615-851-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2641
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: