Provider Demographics
NPI:1053116392
Name:ESSIEN-AKPAN, IRENE ADAMMA (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:ADAMMA
Last Name:ESSIEN-AKPAN
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 BLACK FOREST DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-9807
Mailing Address - Country:US
Mailing Address - Phone:336-295-8014
Mailing Address - Fax:
Practice Address - Street 1:2135 NEW WALKERTOWN RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-3420
Practice Address - Country:US
Practice Address - Phone:336-536-6134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC308421363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health