Provider Demographics
NPI:1003793977
Name:ROOKS, KESHA LASHAWN (DNP, RN)
Entity type:Individual
Prefix:
First Name:KESHA
Middle Name:LASHAWN
Last Name:ROOKS
Suffix:
Gender:F
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1289
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-7089
Mailing Address - Country:US
Mailing Address - Phone:252-676-2048
Mailing Address - Fax:
Practice Address - Street 1:717 OLD FARM RD S
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-5032
Practice Address - Country:US
Practice Address - Phone:252-676-2048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC178788163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator