Healthcare Provider Details

I. General information

NPI: 1952086902
Provider Name (Legal Business Name): JPB WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 09/02/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 INDEPENDENCE PKWY STE 300A
CHESAPEAKE VA
23320-5205
US

IV. Provider business mailing address

3029 DABNEY LN
SUFFOLK VA
23434-2364
US

V. Phone/Fax

Practice location:
  • Phone: 757-904-1446
  • Fax: 757-937-1515
Mailing address:
  • Phone: 757-386-6649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. JONEE PURVIS
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 757-386-6649