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NPI Code Detail

MEDICARE: MRS. TAKESHA ESSEX MSN, FNP-C, PMHNP-C

MEDICARE: MRS. TAKESHA ESSEX MSN, FNP-C, PMHNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner15333CT
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95032999CA
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11036725FL
4363LF0000XFamily Nurse Practitioner4704258492MI
5363LP0808XPsychiatric/Mental Health Nurse Practitioner29684SC
6363LF0000XFamily Nurse Practitioner115900NE
7363LF0000XFamily Nurse Practitioner15333CT
8363LP0808XPsychiatric/Mental Health Nurse Practitioner4704258492MI
9363LF0000XFamily Nurse PractitionerAPRN11036725FL
10363LF0000XFamily Nurse Practitioner95032999CA
11363LP0808XPsychiatric/Mental Health Nurse Practitioner4029065KY
12363LF0000XFamily Nurse Practitioner4029065KY
13363LF0000XFamily Nurse Practitioner29684SC
14363LP0808XPsychiatric/Mental Health Nurse Practitioner115900NE

General Provider Information

NPI Number : 1972984870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAKESHA ESSEX MSN, FNP-C, PMHNP-C
Provider Business Mailing Address
First Line : 1636 VANCOUVER DR
Second Line :
City : SAGINAW
State : MI
Zip : 48638-6701
Country : US
Telephone Number : 989-737-6122
Fax Number :
Provider Business Practice Location Address
First Line : 880 SW 145TH AVE STE 202
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33027-6171
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2015
Last Update Date : 03/19/2026

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