Jacquelyn N. Wilson, P.A. Valid NPI

Individual provider · Surgical Physician Assistant · Charlottesville, VA

NPI

1114247426

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

0110003305 (VA)

Sex

Female

Sole proprietor

No

Enumerated

2010-06-09

Last updated

2023-08-10