Provider Demographics
NPI:1417312133
Name:PURVIS, JONEE MARIE (AGPCNP-C)
Entity Type:Individual
Prefix:MS
First Name:JONEE
Middle Name:MARIE
Last Name:PURVIS
Suffix:
Gender:F
Credentials:AGPCNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3029 DABNEY LN
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-2364
Mailing Address - Country:US
Mailing Address - Phone:757-386-6649
Mailing Address - Fax:
Practice Address - Street 1:301 RIVERVIEW AVE STE 500
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1066
Practice Address - Country:US
Practice Address - Phone:757-233-8252
Practice Address - Fax:757-233-8905
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001227067363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology