=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447101639
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COVA CARE, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 02/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1225 W 25TH ST STE 420
-----------------------------------------------------
City | NORFOLK
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23508-2386
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-861-9814
-----------------------------------------------------
Fax | 757-861-9449
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2601 COLLEY AVE STE 2A
-----------------------------------------------------
City | NORFOLK
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23517-1131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-861-9814
-----------------------------------------------------
Fax | 757-861-9449
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINIC DIRECTOR/MANAGING MEMBER
-----------------------------------------------------
Name | DR. CHIMERE L CLARK
-----------------------------------------------------
Credential | DNP, APRN, WHNP-BC
-----------------------------------------------------
Telephone | 757-861-9814
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------