Jessica Lynn Manning

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15478000 Issued in NJ

Practice address

630 E Lost Pine Way Rd
Galloway, NJ 08205-9688

Phone

(609) 205-5595

NPI assigned

Dec 1, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlanticare Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Hammonton, NJ
  • NPI 1093873556
  Medicare reassignment
• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608
  Medicare reassignment
• Its Gonna Be Great LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galloway, NJ
  • NPI 1386501278
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1639031479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E LOST PINE WAY RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059688",
            "telephone_number": "609-205-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E LOST PINE WAY RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059688",
            "telephone_number": "609-205-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15478000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainland Anesthesia Associates, PC
• Mainland Heart Consultants
• Mainland Pediatric Assoc.
• Marissa Manera, MOT
• Angela Mangaro, APN
• Robert Marsico, PT, ED.D, OCS
• James R Massaro, DC
• Megan Margaret Master, PT, DPT
• Alicia Shana Mattson, R.PH.
• Emily Ann Maul, M.S.ED CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.