Individual
RYAN NICHOLAS SHEPHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4230 HARDING PIKE STE 200, NASHVILLE, TN 37205-2020
(615) 964-5864
(615) 269-7359
Mailing address
3925 NASSAU ST, JACKSON, MS 39216-3612
(615) 830-8086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-4073
MS
207RP1001X
Pulmonary Disease Physician
Primary
6977
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2020
Last updated
07/15/2026
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