| NPI | 1063561876 |
|---|---|
| Former Name | WANDA CHARLENE SEXTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 2159) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN150441) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 2159) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-10-11 |