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

Jacqueline L Wilson

Individual provider Physician Assistant · NPI 1184391435

Jacqueline L Wilson is a Physician Assistant in Burlington, Vermont. Licensed in New York and Vermont. Registered with an NPI since 2021.

Licensed in
NY, VT
In the registry since
2021
Specialties on file
2

Practice location Address checks out

111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 055.0031608 (VT)
Physician Assistant Taxonomy 363A00000X · Licence 026909 (NY)

Record details

NPI number1184391435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2021
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022

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