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

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