Ephrem was born around the year 306 in the city of
Nisibis (now Nusaybin in Turkey), in the contested border region between
Sassanid Assyria and
then-recently acquired by Rome.
Internal evidence from Ephrem's hymnody suggests that both his parents were part of the growing Christian community in the city, although later
hagiographers wrote that his father was a pagan priest.
 Numerous languages were spoken in the Nisibis of Ephrem's day, mostly dialects of
Aramaic. The Christian community used the
Syriac dialect. The culture included pagan religions,
Judaism and early Christian sects.
Jacob, the second
bishop of Nisibis,
 was appointed in 308, and Ephrem grew up under his leadership of the community. Jacob of Nisibis is recorded as a signatory at the
First Council of Nicea in 325. Ephrem was baptized as a youth and almost certainly became a
son of the covenant, an unusual form of syriac proto-
monasticism. Jacob appointed Ephrem as a teacher (Syriac malp̄ānâ, a title that still carries great respect for Syriac Christians). He was ordained as a
deacon either at his baptism or later.
 He began to compose hymns and write biblical commentaries as part of his educational office. In his hymns, he sometimes refers to himself as a "herdsman" (ܥܠܢܐ, ‘allānâ), to his bishop as the "shepherd" (ܪܥܝܐ, rā‘yâ), and to his community as a 'fold' (ܕܝܪܐ, dayrâ). Ephrem is popularly credited as the founder of the
School of Nisibis, which, in later centuries, was the centre of learning of the
Syriac Orthodox Church.
In 337, Emperor
Constantine I, who had legalised and promoted the practice of Christianity in the Roman Empire, died. Seizing on this opportunity,
Shapur II of Persia began a series of attacks into Roman North
Mesopotamia. Nisibis was besieged in 338, 346 and 350. During the first siege, Ephrem credits Bishop Jacob as defending the city with his prayers. In the third siege, of 350, Shapur rerouted the River Mygdonius to undermine the walls of Nisibis. The Nisibenes quickly repaired the walls while the Persian elephant cavalry became bogged down in the wet ground. Ephrem celebrated what he saw as the miraculous salvation of the city in a hymn that portrayed Nisibis as being like
Noah's Ark, floating to safety on the flood.
One important physical link to Ephrem's lifetime is the
baptistery of Nisibis. The inscription tells that it was constructed under Bishop Vologeses in 359. In that year, Shapur attacked again. The cities around Nisibis were destroyed one by one, and their citizens killed or deported.
Constantius II was unable to respond; the campaign of
Julian in 363 ended with his death in battle. His army elected
Jovian as the new emperor, and to rescue his army, he was forced to surrender Nisibis to Persia
 (also in 363) and to permit the expulsion of the entire Christian population.
Ephrem, with the others, went first to Amida (
Diyarbakır), eventually settling in
Şanlıurfa) in 363. Ephrem, in his late fifties, applied himself to ministry in his new church and seems to have continued his work as a teacher, perhaps in the
School of Edessa. Edessa had always been at the heart of the Syriac-speaking world, and the city was full of rival philosophies and religions. Ephrem comments that orthodox Nicene Christians were simply called "Palutians" in Edessa, after a former bishop.
Bardaisanites and various
gnostic sects proclaimed themselves as the true church. In this confusion, Ephrem wrote a great number of hymns defending Nicene orthodoxy. A later Syriac writer,
Jacob of Serugh, wrote that Ephrem rehearsed all-female choirs to sing his hymns set to Syriac folk tunes in the forum of Edessa. After a ten-year residency in Edessa, in his sixties, Ephrem succumbed to the plague as he ministered to its victims. The most reliable date for his death is 9 June 373.