Individual
JASON P WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2509 PLEASANT RUN DR, ROCKINGHAM, VA 22801-8720
(540) 689-5500
(757) 431-7116
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 689-5500
(757) 431-7116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004140
VA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821336306
—
VA
Enumeration date
01/18/2013
Last updated
02/13/2020
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