Ryan Mark Wade, FNP
Nurse Practitioner, Family in Evans, GA. Individual provider (NPI-1).
NPI number1831986249
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1831986249
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Mark Wade
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2025
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN207094 | GA | Yes |
Practice location
723 Industrial Park DrEvans, GA 30809-4352
Phone 706-810-9128
Mailing address
3411 Austell Rd Sw Ste 200Marietta, GA 30008-5796
Other practice locations
690 Cobblestone Creek Ln
Mableton, GA 30126-2661
Mableton, GA 30126-2661
Phone 912-314-3302
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