Organization · Type 2 NPI

Your Business CCC

Primary Care Nurse Practitioner · Suffolk, VA

NPI number 1639987530 Active

Practice location

424 Market St Ste 100
Suffolk, VA 23434-5249

Fax (757) 276-6514

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed
Primary Care Nurse Practitioner Primary	363LP2300X	None listed

Primary Care Nurse Practitioner: Definition to come...

2 other providers at this address

NPI record

NPI: 1639987530
Entity type: Organization (Type 2)
Issued: Dec 23, 2024
Last updated: Mar 20, 2025
Status: Active
Subpart: Yes of Your Business CCC

Other names

<unavail>
Caring Hearts & Hands Primary Practice · doing business as
Release It Counseling · doing business as

Authorized official

Whitney Smith
CEO
(757) 347-0703

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639987530

Your Business CCC's National Provider Identifier is 1639987530, issued on Dec 23, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Suffolk, VA. The record was last updated on Mar 20, 2025.