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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. EBONY BROOKE NICKENS

Active

MRS. EBONY BROOKE NICKENS is a Home Health Aide healthcare provider located in HAYES, Virginia. NPI 1417817974 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · HAYES, VA

Registration Details

NPI Number
1417817974
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2025 (0.76565256965363 yrs)
Last Updated
Nov 17, 2025
Licenses
HCO-0001769 (VA)
HCO-0001769 (VA)

Practice Information

Address
6834 COLEMANS CROSSING AVE STE E
HAYES, VA, 230723337
Browse VA providers · Browse ZIP 23072
Phone
8046770223
Fax
8042101550
Primary Specialty
Home Health Aide
374U00000X
Additional Specialty
Respite Care
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.