Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan Shephard

Individual provider Certified Registered Nurse Anesthetist · NPI 1053669036

Ryan Shephard is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Tennessee. Qualified in 2012, 14 years ago. Practices with West Tennessee Bone and Joint Clinic PC, a 63-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2012
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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-7070
Fax: (731) 541-7075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 16939 (TN)

Record details

NPI number1053669036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 22, 2012
Last updated in NPPESAugust 22, 2012
Mailing address620 Skyline Dr, Jackson, TN 38301-3923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice West Tennessee Bone And Joint Clinic Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson