Individual
QEUNNA DONTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,FNP
Contact information
Practice address
4351 INDIAN RIVER RD STE A, CHESAPEAKE, VA 23325-3148
(757) 271-1286
(757) 226-9173
Mailing address
4351 INDIAN RIVER RD STE A, CHESAPEAKE, VA 23325-3148
(577) 271-1286
(757) 226-9173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001251637
VA
363LS0200X
School Nurse Practitioner
0001251637
VA
Other
Enumeration date
07/24/2018
Last updated
09/06/2023
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