Provider Demographics
NPI:1245309335
Name:SEXTON, JEFFREY SCOTT (PA-C)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:SEXTON
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:ONE VANTAGE WAY
Mailing Address - Street 2:SUITE B240 MIDDLE TENNESSEE EMERGENCY PHYSICIANS, PC
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1562
Mailing Address - Country:US
Mailing Address - Phone:615-443-7374
Mailing Address - Fax:615-443-5488
Practice Address - Street 1:400 N. HIGHLAND AVE
Practice Address - Street 2:MIDDLE TENNESSEE MEDICAL CENTER
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-443-7374
Practice Address - Fax:615-443-5488
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2009-12-16
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Provider Licenses
StateLicense IDTaxonomies
TN1442363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
36648071Medicare PIN