Justin T Wilson

NPI #1750144275 in Ruther Glen, Virginia

Provider Information

NPI Number: 1750144275
Entity Type: Individual
Name: Justin T Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: Feb 6, 2024
Last Updated: Jun 19, 2025

Practice Location

Address: 8051 PROSPERITY WAY STE 100
City: Ruther Glen
State: Virginia
ZIP Code: 22546-5812
Phone: (804) 448-0198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Nurse Practitioner - Family — Family	363LF0000X	Primary

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