Healthcare Provider Details

I. General information

NPI: 1417312133
Provider Name (Legal Business Name): JONEE MARIE PURVIS AGPCNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 INDEPENDENCE PKWY STE 300
CHESAPEAKE VA
23320-5205
US

IV. Provider business mailing address

425 W WASHINGTON ST STE 4
SUFFOLK VA
23434-5320
US

V. Phone/Fax

Practice location:
  • Phone: 757-904-1446
  • Fax: 757-936-4090
Mailing address:
  • Phone: 757-524-2388
  • Fax: 757-936-4090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024173200
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number0024173200
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024173200
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number0024173200
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: