IndividualActive
Jeffrey Wilson, M.D.
NPI 1811015092 · Child & Adolescent Psychiatry Physician · Roanoke, VA
Provider details
- NPI number
- 1811015092
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 8225057 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Addiction Psychiatry Physician2084P0802X
Practice location
2017 Jefferson St Sw
Roanoke, VA 24014-2419
Phone: (540) 853-0900
Fax: (540) 853-0518
Approximate (ZIP-level) locationGet directions
Mailing address
2017 Jefferson St Sw
Roanoke, VA 24014-2419
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2014-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.