Healthcare Provider Details

I. General information

NPI: 1568218998
Provider Name (Legal Business Name): S&J HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 07/05/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 E WILLIAMSBURG RD
SANDSTON VA
23150-2012
US

IV. Provider business mailing address

4 E WILLIAMSBURG RD
SANDSTON VA
23150-2012
US

V. Phone/Fax

Practice location:
  • Phone: 804-937-4373
  • Fax:
Mailing address:
  • Phone: 804-937-4373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA EUBANKS
Title or Position: OWNER
Credential: LPN
Phone: 804-937-4373