Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Peter Ryan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063896868

Timothy Peter Ryan, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.

Licensed in
MS
In the registry since
2015
Specialties on file
2
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

2500 N State St Dept OF Medicine
Jackson, MS 39216
Phone: (601) 984-5601
Fax: (601) 984-6601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 949-L (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063896868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2015
Last updated in NPPESJuly 20, 2015
Mailing address2500 N State St, Department Of Medicine, Jackson, MS 39216

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