Wilson, Jamie K

Wilson, Jamie K is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Suite 201, Roanoke VA 24014-2462. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wilson, Jamie K can be contacted via phone (540) 853-0100.

Contact Information

Primary practice address
2001 Crystal Spring Ave Sw Suite 201 Roanoke VA 24014-2462
Phone: (540) 853-0100
Fax: (540) 342-9308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024167428 Virginia

Profile Details

NPI number 1558556522
LBN Legal business name Wilson, Jamie K
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Aug 9th, 2022 - about 2 years ago

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 1558556522 NPPES
Virginia MEDICAID 1558556522

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