Healthcare Provider Details

I. General information

NPI: 1659764090
Provider Name (Legal Business Name): TERRY A. LUMBER NP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2015
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 BAINBRIDGE BLVD
CHESAPEAKE VA
23324-2329
US

IV. Provider business mailing address

800 BATTLEFIELD BLVD N LIFESTYLE CENTER
CHESAPEAKE VA
23320-4802
US

V. Phone/Fax

Practice location:
  • Phone: 757-690-8970
  • Fax:
Mailing address:
  • Phone: 757-312-5263
  • Fax: 757-312-6245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024181909
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: