Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANINE M WILSON, PA-C
ActiveJEANINE M WILSON, PA-C is a Medical Physician Assistant healthcare provider located in PENN LAIRD, Virginia. NPI 1821289885 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PENN LAIRD, VA
Registration Details
- NPI Number
- 1821289885
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2007 (19.015010686492 yrs)
- Last Updated
- Oct 2, 2022
- Licenses
-
0110002529 (VA)0110002529 (VA)
Practice Information
- Address
-
4549 SPOTSWOOD TRL STE 8PENN LAIRD, VA, 228462050Browse VA providers · Browse ZIP 22846
- Phone
- 5404338700
- Fax
- 5404338080
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.