Healthcare Provider Details

I. General information

NPI: 1205708757
Provider Name (Legal Business Name): IBEAST UNIVERSITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1457 MOUNT PLEASANT RD STE 101
CHESAPEAKE VA
23322-3919
US

IV. Provider business mailing address

1481 FERRY POINT RD
VIRGINIA BEACH VA
23464-5237
US

V. Phone/Fax

Practice location:
  • Phone: 757-410-2111
  • Fax:
Mailing address:
  • Phone: 877-232-7802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: JERMAINE CURNEY
Title or Position: OWNER
Credential:
Phone: 877-232-7802