Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | DN19669 | FL |
N | 1223E0200X | Endodontist | 0401412670 | VA |
Y | 1223E0200X | Endodontist | 5360 | TN |
N | 1223E0200X | Endodontist | DEN1000852 | DC |
NPI | 1184607756 |
---|---|
Provider Name | Dr. Paula E Nesbitt |
First Address | Nashville, TN 37203-1816 |
Second Address | Nashville, TN 37203-1816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 28/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004708800 | (05) | FL |
0401412670 | VIRGINIA DENTAL LICENSE (01) | VA |
1184607756 | (05) | VA |
3225803 | (05) | TN |
5360 | STATE DENTAL LICENSE (01) | TN |
DEN1000852 | WASHINGTON D.C. DENTAL LICENSE (01) | DC |
DN19669 | FLORIDA LIMITED DENTAL LICENSE (01) | FL |