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Organization
JEM PSYCHIATRIC SERVICES
Active
Organization
JEM PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MANIFOLD (OWNER)
(419) 202-6599
Entity
Organization
Contact information
Practice address
2173 MCKINLEY AVE, LAKEWOOD, OH 44107-5432
(419) 202-6599
Mailing address
2173 MCKINLEY AVE, LAKEWOOD, OH 44107-5432
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
09/29/2026
Last updated
09/29/2026
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