Healthcare Provider Details

I. General information

NPI: 1285542761
Provider Name (Legal Business Name): EVERCARE PRIMARY CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 ROCKWATER TER
HENRICO VA
23238-3622
US

IV. Provider business mailing address

2202 ROCKWATER TER
HENRICO VA
23238-3622
US

V. Phone/Fax

Practice location:
  • Phone: 804-502-1919
  • Fax: 804-999-0430
Mailing address:
  • Phone: 804-502-1919
  • Fax: 804-999-0430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY HARRIS
Title or Position: FAMILY NURSE PRACTITIONER
Credential: NP-BC
Phone: 804-502-1919