Wilson, Jason P

Wilson, Jason P is an individual health care provider with primary practice located at 2509 Pleasant Run Dr , Rockingham VA 22801-8720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Jason P can be contacted via phone (540) 689-5500.

Contact Information

Primary practice address
2509 Pleasant Run Dr Rockingham VA 22801-8720
Phone: (540) 689-5500
Fax: (757) 431-7116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004140 Virginia

Profile Details

NPI number 1821336306
LBN Legal business name Wilson, Jason P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Feb 13th, 2020 - about 4 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 1821336306 NPPES
Virginia MEDICAID 1821336306

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