Provider Demographics
NPI:1780026385
Name:NESMITH, TERRY JEAN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:TERRY
Middle Name:JEAN
Last Name:NESMITH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:JEAN
Other - Last Name:CROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:815 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CRESSON
Mailing Address - State:PA
Mailing Address - Zip Code:16630-1141
Mailing Address - Country:US
Mailing Address - Phone:724-874-1485
Mailing Address - Fax:
Practice Address - Street 1:815 2ND ST
Practice Address - Street 2:
Practice Address - City:CRESSON
Practice Address - State:PA
Practice Address - Zip Code:16630-1141
Practice Address - Country:US
Practice Address - Phone:724-874-1485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN573366163W00000X, 163WP0200X
PASP015724363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily