Healthcare Provider Details

I. General information

NPI: 1295152874
Provider Name (Legal Business Name): LINDSAY SEXTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2014
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 LOCUST ST
ROGERSVILLE TN
37857-2407
US

IV. Provider business mailing address

415 BROAD ST SUITE 410
KINGSPORT TN
37660-4263
US

V. Phone/Fax

Practice location:
  • Phone: 423-239-9737
  • Fax: 423-398-5500
Mailing address:
  • Phone: 423-239-9737
  • Fax: 423-398-5500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number174409
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18574
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: