| Justin T Wilson, | |
|
8051 Prosperity Way Ste 100, Ruther Glen, VA 22546-5812 | |
| (804) 448-0198 | |
| Not Available |
| Full Name | Justin T Wilson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 8051 Prosperity Way Ste 100, Ruther Glen, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750144275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0024193809 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024193809 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin T Wilson, 10209 Indiantown Rd, King George, VA 22485-3539 Ph: (540) 421-6688 | Justin T Wilson, 8051 Prosperity Way Ste 100, Ruther Glen, VA 22546-5812 Ph: (804) 448-0198 |
Mrs. Marisa Bradbury, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5322 Ladysmith Rd, Ruther Glen, VA 22546 Phone: 804-547-4125 | |
Ms. Tamara Krantz Fleming, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8051 Prosperity Way, Suite 100, Ruther Glen, VA 22546 Phone: 804-448-1380 | |
Engoh Bellamy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11073 Colonel Armistead Dr Ste 105b, Ruther Glen, VA 22546 Phone: 703-660-4676 |