Search › Virginia › 363AS0400X
Jacquelyn Wilson, P.A
NPI 1114247426 · on the registry since 2010
Practice
- Address
- 2800 Ivy Rd
Charlottesville, VA 22903 - Phone
- (434) 243-3600
- Fax
- (434) 244-4454
- Clinicians at this address
- 19
Additional practice sites
- 1215 Lee St, Charlottesville, VA
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia