Individual
MR. JASON SCOTT BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN-CRNA
Contact information
Practice address
301 TYSON AVE, PARIS, TN 38242-4544
(865) 777-0909
(865) 777-0910
Mailing address
12752 KINGSTON PIKE, STE E202, KNOXVILLE, TN 37934-0948
(865) 777-0909
(865) 777-0910
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
NA3255
CA
367500000X
Certified Registered Nurse Anesthetist
5816A
KY
367500000X
Certified Registered Nurse Anesthetist
APN13224
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN163959
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515836
—
TN
01
—
4235686
BLUE CROSS/BLUE SHIELD
TN
01
—
P00810608
RAILROAD MEDICARE
TN
Enumeration date
11/02/2006
Last updated
03/04/2011
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