DR. DTAWAHN SEXTON DNP FNP-BC RN NPI 1568905107

NPI Information

NPI: 1568905107
Provider Name: DR. DTAWAHN SEXTON, DNP, FNP-BC, RN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
450 S KITSAP BLVD
PORT ORCHARD, WA
ZIP 98366
Phone: (360) 874-5900
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DR. Dtawahn Sexton, DNP, FNP-BC, RN is a family nurse practitioner in Port Orchard, WA. DR. Dtawahn Sexton, DNP, FNP-BC, RN NPI is 1568905107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

450 S KITSAP BLVD
PORT ORCHARD, WA
ZIP 98366-773
Phone: (360) 874-5900
Fax: (253) 952-6824

The enumeration date for this NPI number is 11/30/2016 and was last updated on 12/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN216522	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	2016024386	GEORGIA	No
3	363LF0000X	Nurse Practitioner	Family	AP60863630	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2104738	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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