Individual provider · Type 1 NPI

Jeffrey John Wilson, MD

Child & Adolescent Psychiatry Physician · Roanoke, VA

NPI number 1811015092 Active

Practice location

2017 Jefferson St SW
Roanoke, VA 24014-2419

Fax (540) 853-0518

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician 2084P0804X8225057 (UT)
Addiction Psychiatry Physician 2084P0802X8225057 (UT)
Psychiatry Physician 2084P0800X8225057 (UT)
Psychiatry Physician 2084P0800X0101-256187 (VA)
Child & Adolescent Psychiatry Physician Primary 2084P0804X0101-256187 (VA)
Addiction Psychiatry Physician 2084P0802X0101-256187 (VA)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1811015092

Jeffrey John Wilson, MD's National Provider Identifier is 1811015092, issued on Mar 27, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Roanoke, VA. The record was last updated on Dec 24, 2014.