Provider Demographics
NPI:1811780984
Name:ROOKS, EBONY SHANIA (DNP)
Entity type:Individual
Prefix:DR
First Name:EBONY
Middle Name:SHANIA
Last Name:ROOKS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CABARRUS AVE E STE 215
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-4785
Mailing Address - Country:US
Mailing Address - Phone:704-351-9216
Mailing Address - Fax:
Practice Address - Street 1:10 CABARRUS AVE E STE 215
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4785
Practice Address - Country:US
Practice Address - Phone:704-351-9216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC320993363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily