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Organization
WARDWELL POINT WHOLE HEALTH
Active
Organization
WARDWELL POINT WHOLE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRI JENSEN MD (OWNER)
(207) 497-2996
Entity
Organization
Contact information
Practice address
RR 1 BOX 56, WARDWELL POINT RD., PENOBSCOT, ME 04476-9705
(207) 497-2996
(207) 497-3467
Mailing address
541 MASON BAY RD, JONESPORT, ME 04649-3501
(207) 497-2996
(207) 497-3467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013248
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046639
BCBS
ME
05
—
189960000
—
ME
01
—
3342110
AETNA
ME
01
—
4254797
AETNA
ME
01
—
DA3087
RAILROAD MEDICARE
ME
01
—
E004797
TRICARE
ME
01
—
E48086
HARVARD PILGRIM
ME
Enumeration date
04/05/2007
Last updated
06/27/2008
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