Justin T Wilson
Justin T Wilson is a Nurse Practitioner in Ruther Glen, Virginia. Qualified in 2025, 1 year ago. Practices with Mary Washington Healthcare Physicians, a 287-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 1
- Licensed in
- VA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
8051 Prosperity Way Ste 100Ruther Glen, VA 22546-5812
Phone: (804) 448-0198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 0024193809 (VA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 0024193809 (VA) |
Record details
| NPI number | 1750144275 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 6, 2024 |
| Last updated in NPPES | June 19, 2025 |
| Certification date | June 19, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Mary Washington Healthcare Physicians — 287 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |