NPI

Ryan T Short

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
FNP
Type
Individual
Enumeration date
2019-05-13
Last updated
2025-06-02

Specialties

Licenses

License TN
25604
License VA
0024177598

Location

Practice location
410 N State Of Franklin Rd Ste 135b
City
Johnson City TN
Postal code
37604-6972
Phone
(423) 431-4866

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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