Individual provider · Type 1 NPI
Jacqueline Anne Reilley, AGNP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1093688731
Active
Practice location
4162 Apple St
Philadelphia, PA 19127-1620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP031312 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1093688731
Jacqueline Anne Reilley, AGNP's National Provider Identifier is 1093688731, issued on Sep 29, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 28, 2025.