RYAN T SHORT

JOHNSON CITY, TN
NPI1568028967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024177598)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TN  25604)
Enumeration Date2019-05-13
Last Update Date2025-06-02
Business Address
RYAN T SHORT FNP
410 N STATE OF FRANKLIN RD STE 135B
JOHNSON CITY, TN 37604-6972
Phone number: 423-431-4866
Mailing Address
RYAN T SHORT FNP
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-952-2111