Provider Demographics
NPI:1972984870
Name:ESSEX, TAKESHA (MSN, FNP-C, PMHNP-C)
Entity type:Individual
Prefix:MRS
First Name:TAKESHA
Middle Name:
Last Name:ESSEX
Suffix:
Gender:
Credentials:MSN, FNP-C, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 VANCOUVER DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-6701
Mailing Address - Country:US
Mailing Address - Phone:989-737-6122
Mailing Address - Fax:
Practice Address - Street 1:1636 VANCOUVER DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-6701
Practice Address - Country:US
Practice Address - Phone:989-737-6122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704258492363LF0000X, 363LP0808X
NE115900363LF0000X, 363LP0808X
SC29684363LF0000X, 363LP0808X
FLAPRN11036725363LF0000X, 363LP0808X
CA95032999363LP0808X, 363LF0000X
KY4029065363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily