MEDICARE: ENGAGE PSYCHIATRY & WELLNESS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1679426183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENGAGE PSYCHIATRY & WELLNESS PC

Provider Business Mailing Address
First Line	:	1138 N GERMANTOWN PKWY STE 101-504
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-5872
Country	:	US
Telephone Number	:	501-246-0037
Fax Number	:

Provider Business Practice Location Address
First Line	:	1138 N GERMANTOWN PKWY STE 101-504
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-5872
Country	:	US
Telephone Number	:	501-246-0037
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER/CO-OWNER
Name	:	HEATHER NICHOLE FESPERMAN
Credential	:	PMHNP-BC
Telephone Number	:	501-246-0037

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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