Wilson, Jacquelyn N.

Wilson, Jacquelyn N. is an individual health care provider with primary practice located at 2800 Ivy Rd , Charlottesville VA 22903. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Wilson, Jacquelyn N. can be contacted via phone (434) 243-3600.

Contact Information

Primary practice address
2800 Ivy Rd Charlottesville VA 22903
Phone: (434) 243-3600
Fax: (434) 244-4454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003305 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110003305 Virginia

Profile Details

NPI number 1114247426
LBN Legal business name Wilson, Jacquelyn N.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2010
Last updated Aug 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114247426 NPPES
Virginia MEDICAID 1114247426

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