Individual provider · Type 1 NPI

Jacquelyn N. Wilson, P.A.

Surgical Physician Assistant · Charlottesville, VA

NPI number 1114247426 Active

Practice location

2800 Ivy Rd
Charlottesville, VA 22903

Call (434) 243-3600 Map

Fax (434) 244-4454

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-0816 · (434) 924-0211

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110003305 (VA)
Surgical Physician Assistant Primary 363AS0400X0110003305 (VA)

Surgical Physician Assistant: Definition to come...

14 other providers at this address

Other surgical physician assistant providers in Charlottesville

See all in Charlottesville →

About NPI 1114247426

Jacquelyn N. Wilson, P.A.'s National Provider Identifier is 1114247426, issued on Jun 9, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 29, 2026.