Jackwicz, Rebecca Beaupre

Jackwicz, Rebecca Beaupre is an individual health care provider with primary practice located at 14 Ridgedale Ave Ste 103 , Cedar Knolls NJ 07927-1106. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jackwicz, Rebecca Beaupre can be contacted via phone (973) 295-6335.

Contact Information

Primary practice address
14 Ridgedale Ave Ste 103 Cedar Knolls NJ 07927-1106
Phone: (973) 295-6335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00955000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00955000 New Jersey

Profile Details

NPI number 1467003962
LBN Legal business name Jackwicz, Rebecca Beaupre
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2019
Last updated Nov 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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