Provider Demographics
NPI:1598566978
Name:NESBITT, JAMAL (MC, LPC)
Entity type:Individual
Prefix:MR
First Name:JAMAL
Middle Name:
Last Name:NESBITT
Suffix:
Gender:
Credentials:MC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 GALLATIN PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-1322
Mailing Address - Country:US
Mailing Address - Phone:615-392-0377
Mailing Address - Fax:
Practice Address - Street 1:5001 GALLATIN PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-1322
Practice Address - Country:US
Practice Address - Phone:615-392-0377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7306101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional