Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Rebecca Beaupre Jackwicz, PMHNP

Individual provider Adult Health Nurse Practitioner · NPI 1467003962

Mrs. Rebecca Beaupre Jackwicz, PMHNP is a Nurse Practitioner in Manasquan, New Jersey. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

1913 Atlantic Ave
Manasquan, NJ 08736-1029
Phone: (732) 487-1808
Fax: (732) 681-3061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00955000 (NJ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 26NJ00955000 (NJ)

Record details

NPI number1467003962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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