Individual provider · Type 1 NPI
Jesse-Jay Manansala, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Beach Park, IL
NPI number
1922958792
Active
Practice location
39193 N Stockton Ln
Beach Park, IL 60083-3010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.034904 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1922958792
Jesse-Jay Manansala, PMHNP-BC's National Provider Identifier is 1922958792, issued on Feb 2, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beach Park, IL. The record was last updated on Feb 27, 2026.