Individual provider · Type 1 NPI

Jaquelyn Michelle Wilson, PA-C

Family Medicine Physician · Brandon, MS

NPI number 1982535498 Active

Practice location

106 Lake Vista Pl
Brandon, MS 39047-6384

Mailing address

1075 Centre Pointe Dr
Brandon, MS 39042-9698

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XPA01048 (MS)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1982535498

Jaquelyn Michelle Wilson, PA-C's National Provider Identifier is 1982535498, issued on May 26, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Brandon, MS. The record was last updated on Sep 22, 2026.