Individual
MR. JESSE LYNN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
521 HILL STREET, SW, THOMSON, GA 30824-2118
(706) 597-5239
(706) 597-5141
Mailing address
4282 DEERWOOD LN, EVANS, GA 30809-4224
(706) 597-5239
(706) 597-5141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA074053
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
R074053
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000519384E
—
GA
01
—
43ZCBFH
MEDICARE
GA
Enumeration date
12/11/2006
Last updated
03/06/2026
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