Healthcare Provider Details

I. General information

NPI: 1063256014
Provider Name (Legal Business Name): EXPERT HEALTHCARE AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 GREENBRIER CIR STE 3
CHESAPEAKE VA
23320-2646
US

IV. Provider business mailing address

820 GREENBRIER CIR STE 3
CHESAPEAKE VA
23320-2646
US

V. Phone/Fax

Practice location:
  • Phone: 757-866-4078
  • Fax: 804-881-1153
Mailing address:
  • Phone: 757-866-4078
  • Fax: 804-881-1153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: QEUNNA DONTE SMITH
Title or Position: RN-OWNER
Credential: RN
Phone: 757-761-8629