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

Zachary Ryan Wilson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629822721

Zachary Ryan Wilson is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MS)

Record details

NPI number1629822721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESApril 15, 2024
Certification dateApril 10, 2024
Mailing address1508 Myrtle St, Jackson, MS 39202-1331

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