Individual
EMILY G WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 JOHNSTON WILLIS DR STE 100, NORTH CHESTERFIELD, VA 23235-4730
(804) 330-7990
(804) 330-2701
Mailing address
7202 GLEN FOREST DR STE 200, RICHMOND, VA 23226-3780
(804) 673-0134
(804) 200-6229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001294701
VA
363L00000X
Nurse Practitioner
Primary
0024193955
VA
363LA2200X
Adult Health Nurse Practitioner
0024193955
VA
Other
Enumeration date
06/18/2025
Last updated
07/07/2025
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