Active NPIIndividual provider

Jessie Rising, PA

Physician Assistant in Manahawkin, New Jersey

NPI Number1215754684
Practice location
547 Route 72 W, Manahawkin, NJ 08050-2821
Fax
—
Last updated
November 4, 2026

Jessie Rising is a Physician Assistant based in Manahawkin, NJ. Jessie Rising practices in Manahawkin, NJ and has the professional credentials of PA. The NPI Number for Jessie Rising is 1215754684 and holds a License No. 25MP00885900 (NJ). The current practice location address for Jessie Rising is 547 Route 72 W, Manahawkin, NJ 08050-2821 and can be reached out via phone at 609-704-6833.

Provider Profile Details

NPI Number
1215754684
Provider Name
Jessie Rising
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
547 Route 72 W, Manahawkin, NJ 08050-2821
Phone Number
609-704-6833
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2024
Last Update Date
November 4, 2026
Certification Date
November 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
547 Route 72 W
Manahawkin, NJ 08050-2821
Zip
08050-2821
Phone Number
609-704-6833
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD Ste 220
Red Bank, NJ 07701-5792
City
Red Bank
State
NJ
Zip
07701-5792
Phone Number
732-807-0880

License Information

License Number
25MP00885900
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessie Rising, PA?

The NPI number of Jessie Rising, PA is 1215754684. It was assigned on September 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Jessie Rising, PA?

Jessie Rising, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00885900.

Where does Jessie Rising, PA practice?

The practice location is 547 Route 72 W, Manahawkin, NJ 08050-2821. The office can be reached at 609-704-6833 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215754684 directly on the NPPES registry website.

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