MRS. Rebecca Beaupre Jackwicz, PMHNP
NPI #1467003962 in Cedar Knolls, New Jersey
Provider Information
- NPI Number
- 1467003962
- Entity Type
- Individual
- Name
- MRS. Rebecca Beaupre Jackwicz, PMHNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP
- Enumeration Date
- Sep 25, 2019
- Last Updated
- Nov 11, 2021
Practice Location
- Address
- 14 RIDGEDALE AVE STE 103
- City
- Cedar Knolls
- State
- New Jersey
- ZIP Code
- 07927-1106
- Phone
- (973) 295-6335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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