Jaclyn Noel Marie Jezak
CNP | Nurse Practitioner - Psych/Mental Health | 4+ years Exp
710 Cleveland Ave, Fremont
Ohio, 43420-3224
419-334-6619
Jaclyn Noel Marie Jezak is a Fremont, Ohio based nurse practitioner with 4 years of experience in Psych/Mental Health. She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jaclyn Noel Marie Jezak is APRN.CNP.0030241 for Psych/Mental Health in Ohio. Her current practice location is 710 Cleveland Ave, Fremont. Patients can reach her at 419-334-6619. Jaclyn Noel Marie Jezak is CNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1922764760.
Jaclyn Noel Marie Jezak provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jaclyn Noel Marie Jezak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jaclyn Noel Marie Jezak |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | CNP |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 710 Cleveland Ave, Fremont,
Ohio, 43420-3224 |
| Phone: | 419-334-6619 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3072906643 |
| Enrollment ID: | I20220202001870 |
| NPI Number: | 1922764760 |
| NPI Enumeration Date: | 16 Nov, 2021 |
| NPI Last Update On: | 03 Nov, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaclyn Noel Marie Jezak are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN.CNP.0030241 | Psych/Mental Health | Ohio | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jaclyn Noel Marie Jezak is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Memorial Professional Services Ltd (1456531870) | 41 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jaclyn Noel Marie Jezak
4300 Champlin Dr,
Perrysburg, Ohio |
| Zip: | 43551-7178 |
| Phone Number: | 419-266-5297 |
Patients can reach Jaclyn Noel Marie Jezak at
710 Cleveland Ave, Fremont, Ohio or can
call to book an appointment on 419-334-6619.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.