Healthcare Provider Details

I. General information

NPI: 1255281663
Provider Name (Legal Business Name): OASIS HEALTH CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MELON ST
NORFOLK VA
23523-2009
US

IV. Provider business mailing address

1401 MELON ST
NORFOLK VA
23523-2009
US

V. Phone/Fax

Practice location:
  • Phone: 716-215-9477
  • Fax:
Mailing address:
  • Phone: 716-215-9477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KASAUNDRA NICOLE EWING
Title or Position: OWNER
Credential: APRN, FNP
Phone: 757-343-4163