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

Dr. Justin Lee Wilson, DPH

Individual provider Pharmacist · NPI 1285230714

Dr. Justin Lee Wilson, DPH is a Pharmacist in Jacksboro, Tennessee. Licensed in Tennessee. Registered with an NPI since 2020.

Licensed in
TN
In the registry since
2020

Practice location Address checks out

2715 Jacksboro Pike
Jacksboro, TN 37757-4851
Phone: (423) 563-7455
Fax: (423) 563-7448
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 37476 (TN)

Record details

NPI number1285230714
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateNovember 16, 2020

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