Healthcare Provider Details

I. General information

NPI: 1366319717
Provider Name (Legal Business Name): BRITTNEY SUE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 GREENBRIER PKWY
CHESAPEAKE VA
23320-3697
US

IV. Provider business mailing address

824 GREENBRIER PKWY
CHESAPEAKE VA
23320-3697
US

V. Phone/Fax

Practice location:
  • Phone: 757-410-7390
  • Fax:
Mailing address:
  • Phone: 757-926-9677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024195040
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: