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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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