Provider Demographics
NPI:1871933986
Name:NESMITH, TRAY BENNETT (NP)
Entity type:Individual
Prefix:MR
First Name:TRAY
Middle Name:BENNETT
Last Name:NESMITH
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-0131
Mailing Address - Country:US
Mailing Address - Phone:256-640-8416
Mailing Address - Fax:256-640-8450
Practice Address - Street 1:131 GOLFVIEW DR NE
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-5473
Practice Address - Country:US
Practice Address - Phone:256-640-8416
Practice Address - Fax:256-640-8450
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-108707363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care