Individual provider · Type 1 NPI
Justin T. Wilson
Family Nurse Practitioner · Ruther Glen, VA
NPI number
1750144275
Active
Practice location
8051 Prosperity Way Ste 100
Ruther Glen, VA 22546-5812
Mailing address
10209 Indiantown Rd
King George, VA 22485-3539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0024193809 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024193809 (VA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1750144275
Justin T. Wilson's National Provider Identifier is 1750144275, issued on Feb 6, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ruther Glen, VA. The record was last updated on Jun 19, 2025.