# FORAKER WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700729076
- **Authorized official:** MRS. JACLYN KIMBERLY FORAKER FNP-C (OWNER)
- **Authorized official phone:** (207) 735-5851

## Contact information

- **Practice address:** 309 S MAIN ST, BREWER, ME 04412-2231
- **Practice address phone:** (207) 735-5851
- **Mailing address:** 1305 KENNEBEC RD, HAMPDEN, ME 04444-3110
- **Mailing address phone:** (207) 735-5851
- **Mailing address fax:** (949) 883-7932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2026
- **Last updated:** 07/27/2026