# JEM PSYCHIATRIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881508612
- **Authorized official:** JESSICA MANIFOLD (OWNER)
- **Authorized official phone:** (419) 202-6599

## Contact information

- **Practice address:** 2173 MCKINLEY AVE, LAKEWOOD, OH 44107-5432
- **Practice address phone:** (419) 202-6599
- **Mailing address:** 2173 MCKINLEY AVE, LAKEWOOD, OH 44107-5432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2026
- **Last updated:** 09/29/2026