Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB BRYANT CRNA
NPI 1093681694
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Q: What is Jacob Bryant's NPI number?

The NPI number for Jacob Bryant is 1093681694. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Q: What is Jacob Bryant's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Bryant was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2025

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 11, 2026, Jul 28, 2026 (2 updates tracked since 2026).

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About Jacob Bryant Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB BRYANT CRNA (NPI 1093681694) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (APRN11049621) and active in the NPI registry since October 2025. He maintains a secondary practice location in Panama City.

NPPES Registry Identity

NPI1093681694

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJACOB BRYANTCredential: CRNA

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateOctober 13, 2025

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1093681694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in FL · APRN11049621

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 13389 State AvePanama City, FL 32405-3346 · Phone (205) 990-8043

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L WALSH PA-C/MPH

Physician Assistant