Healthcare Provider Details
I. General information
NPI: 1871687459
Provider Name (Legal Business Name): WENDY ANN SERGEANT NP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/03/2006
Last Update Date: 07/22/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 LEDGEHILL RD
BENNINGTON VT
05201-5200
US
IV. Provider business mailing address
PO BOX 576
JACKSONVILLE VT
05342-0576
US
V. Phone/Fax
- Phone: 802-442-5491
- Fax:
- Phone: 802-435-0616
- Fax: 508-637-1605
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 273780 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 26.0145267 |
| License Number State | VT |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 101.0134780 |
| License Number State | VT |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP0016X |
| Taxonomy | Prescribing (Medical) Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: