Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. REBECCA BEAUPRE JACKWICZ, PMHNP
ActiveMRS. REBECCA BEAUPRE JACKWICZ, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in CEDAR KNOLLS, New Jersey. NPI 1467003962 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · CEDAR KNOLLS, NJ
Registration Details
- NPI Number
- 1467003962
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2019 (6.7408852930999 yrs)
- Last Updated
- Nov 11, 2021
- Licenses
-
26NJ00955000 (NJ)26NJ00955000 (NJ)
Practice Information
- Address
-
14 RIDGEDALE AVE STE 103CEDAR KNOLLS, NJ, 079271106Browse NJ providers · Browse ZIP 07927
- Phone
- 9732956335
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in CEDAR KNOLLS, NJ
| Name | Credential | NPI |
|---|---|---|
| REBECCA LYNN DAUERMAN | APN | 1114967072 |
| ELIZABETH ANNE FALLON | MS, PMHNP-BC, APN | 1699053785 |
| COLLEEN M WAGNER | A-GNP-C | 1316310568 |
| RACHEL CONRY | — | 1629420914 |
| HANAN KHORCHID | — | 1033643408 |
| EVE RACHAEL KESSLER | MS-APN | 1437656261 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.