Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffrey John Wilson, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1811015092

Dr. Jeffrey John Wilson, MD is a Child & Adolescent Psychiatry Physician in Roanoke, Virginia. Licensed in Utah and Virginia. Registered with an NPI since 2007.

Licensed in
UT, VA
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone: (540) 853-0900
Fax: (540) 853-0518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 0101-256187 (VA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 8225057 (UT)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 8225057 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 8225057 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0101-256187 (VA)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 0101-256187 (VA)

Record details

NPI number1811015092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESDecember 24, 2014
Mailing address2017 Jefferson St Sw, Roanoke, VA 24014-2419

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