Individual provider · Type 1 NPI

Ryan Edward Wolf, MD

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1821611344 Active

Practice location

764 Lakeland Dr
Jackson, MS 39216-4651

Call (601) 984-5023 Map

Other practice locations

  • 2500 N State St, Jackson, MS 39216-4500 · (601) 984-5023

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XT-5604 (MS)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821611344

Ryan Edward Wolf, MD's National Provider Identifier is 1821611344, issued on May 19, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Jul 3, 2026.