Healthcare Provider Details

I. General information

NPI: 1962320986
Provider Name (Legal Business Name): SHELBY CHENG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 N JUNALUSKA DR
RICHMOND VA
23225-2322
US

IV. Provider business mailing address

1950 N JUNALUSKA DR
RICHMOND VA
23225-2322
US

V. Phone/Fax

Practice location:
  • Phone: 804-516-0617
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024197637
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024197637
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: