Provider Demographics
NPI:1104297308
Name:NESBIT, DEBRA DENISE (CEO)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:DENISE
Last Name:NESBIT
Suffix:
Gender:F
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3522 THISTLE VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-9476
Mailing Address - Country:US
Mailing Address - Phone:901-949-1593
Mailing Address - Fax:
Practice Address - Street 1:3522 THISTLE VALLEY LN
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38135-9476
Practice Address - Country:US
Practice Address - Phone:901-949-1593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172V00000XOther Service ProvidersCommunity Health Worker
No374U00000XNursing Service Related ProvidersHome Health Aide