Provider Demographics
NPI:1295535425
Name:KORYAN, BESSIE (FNP)
Entity type:Individual
Prefix:
First Name:BESSIE
Middle Name:
Last Name:KORYAN
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 DOGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-3707
Mailing Address - Country:US
Mailing Address - Phone:404-838-6238
Mailing Address - Fax:
Practice Address - Street 1:6392 MURPHY DR
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1714
Practice Address - Country:US
Practice Address - Phone:770-968-1310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN119188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily