Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan Edward Wolf, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821611344

Dr. Ryan Edward Wolf, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

764 Lakeland Dr
Jackson, MS 39216-4651
Phone: (601) 984-5023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence T-5604 (MS)

Record details

NPI number1821611344
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026
Mailing address764 Lakeland Dr, Jackson, MS 39216-4651

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