MEDICARE: ART OF WELLNESS MENTAL HEALTH CARE

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	:	1730933128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ART OF WELLNESS MENTAL HEALTH CARE

Provider Business Mailing Address
First Line	:	28 GOULDS RIDGE RD
Second Line	:
City	:	PASSADUMKEAG
State	:	ME
Zip	:	04475-3115
Country	:	US
Telephone Number	:	618-841-0806
Fax Number	:

Provider Business Practice Location Address
First Line	:	108A MAIN RD S
Second Line	:
City	:	HAMPDEN
State	:	ME
Zip	:	04444-1204
Country	:	US
Telephone Number	:	207-709-0553
Fax Number	:	207-709-0553

Authorized Official
Title or Position	:	PMHNP
Name	:	JENNIFER LYNN FERGUSON
Credential	:
Telephone Number	:	618-841-0806

Provider Enumeration Date	:	04/12/2024
Last Update Date	:	02/25/2026

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