Provider Demographics
NPI:1598015422
Name:ESSIEN, INYENE EDEM (NP-C)
Entity Type:Individual
Prefix:MISS
First Name:INYENE
Middle Name:EDEM
Last Name:ESSIEN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 HIGHLAND AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2100
Mailing Address - Country:US
Mailing Address - Phone:978-354-4611
Mailing Address - Fax:978-354-4651
Practice Address - Street 1:55 HIGHLAND AVE STE 304
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2100
Practice Address - Country:US
Practice Address - Phone:978-354-4611
Practice Address - Fax:978-354-4651
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAA0812021363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health