Individual provider · Type 1 NPI
Ebony Brooke Nickens
Home Health Aide · Hayes, VA
NPI number
1417817974
Active
Practice location
6834 Colemans Crossing Ave Ste E
Hayes, VA 23072-3337
Fax (804) 210-1550
Mailing address
1619 Winthrope Dr
Newport News, VA 23602-9638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide Primary | 374U00000X | HCO-0001769 (VA) |
| Respite Care | 385H00000X | HCO-0001769 (VA) |
Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Another provider at this address
About NPI 1417817974
Ebony Brooke Nickens's National Provider Identifier is 1417817974, issued on Nov 17, 2025. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Hayes, VA. The record was last updated on Nov 17, 2025.