Active NPIIndividual provider

Mrs. Rebecca B Jackwicz, PMHNP

Nurse Practitioner, Psych/Mental Health in Manasquan, New Jersey

NPI Number1467003962
Practice location
1913 Atlantic Ave, Manasquan, NJ 08736-1029
Fax
732-681-3061
Last updated
June 17, 2026

Rebecca Beaupre Jackwicz is a Nurse Practitioner, Psych/Mental Health based in Manasquan, NJ. Rebecca Beaupre Jackwicz practices in Manasquan, NJ and has the professional credentials of PMHNP. The NPI Number for Rebecca Beaupre Jackwicz is 1467003962 and holds a License No. 26NJ00955000 (NJ). The current practice location address for Rebecca Beaupre Jackwicz is 1913 Atlantic Ave, Manasquan, NJ 08736-1029 and can be reached out via phone at 732-487-1808 and via fax at 732-681-3061.

Provider Profile Details

NPI Number
1467003962
Provider Name
Rebecca Beaupre Jackwicz
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1913 Atlantic Ave, Manasquan, NJ 08736-1029
Phone Number
732-487-1808
Fax Number
732-681-3061
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2019
Last Update Date
June 17, 2026
Certification Date
June 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1913 Atlantic Ave
Manasquan, NJ 08736-1029
Zip
08736-1029
Phone Number
732-487-1808
Fax Number
732-681-3061
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
1913 Atlantic Ave
Suite 160 First Floor
Manasquan, NJ 08736-1029
City
Manasquan
State
NJ
Zip
08736-1029
Phone Number
732-487-1808
Fax Number
732-681-3061

License Information

License Number (1)
26NJ00955000
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
26NJ00955000
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Mrs. Rebecca B Jackwicz, PMHNP?

The NPI number of Mrs. Rebecca B Jackwicz, PMHNP is 1467003962. It was assigned on September 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Rebecca B Jackwicz, PMHNP?

Mrs. Rebecca B Jackwicz, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00955000.

Where does Mrs. Rebecca B Jackwicz, PMHNP practice?

The practice location is 1913 Atlantic Ave, Manasquan, NJ 08736-1029. The office can be reached at 732-487-1808 (phone) or 732-681-3061 (fax).

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 1467003962 directly on the NPPES registry website.

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