Provider Demographics
NPI:1245122613
Name:NESBIT, JERRY NESBIT (CNA)
Entity type:Individual
Prefix:MR
First Name:JERRY NESBIT
Middle Name:
Last Name:NESBIT
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:MR
Other - First Name:JERRY
Other - Middle Name:
Other - Last Name:NESBIT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNA
Mailing Address - Street 1:2600 NAPA VALLEY WAY APT 201
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-5272
Mailing Address - Country:US
Mailing Address - Phone:615-788-7770
Mailing Address - Fax:
Practice Address - Street 1:2600 NAPA VALLEY WAY APT 201
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-5272
Practice Address - Country:US
Practice Address - Phone:615-788-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health