Healthcare Provider Details

I. General information

NPI: 1982565842
Provider Name (Legal Business Name): AENEA CHASE MEAD MSN, RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROOSEVELT AVE STE 204
PEABODY MA
01960-2227
US

IV. Provider business mailing address

1 ROOSEVELT AVE STE 204
PEABODY MA
01960-2227
US

V. Phone/Fax

Practice location:
  • Phone: 978-762-6262
  • Fax: 978-750-8312
Mailing address:
  • Phone: 978-762-6262
  • Fax: 978-750-8312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF10250277
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: