Individual provider · Type 1 NPI

Jessica Lindsay Reilly, AGPCNP-BC

Nurse Practitioner · Braintree, MA

NPI number 1104778000 Active

Practice location

140 Wood Rd Ste 104
Braintree, MA 02184-2512

Mailing address

325 Washington St
Canton, MA 02021-3857

Other practice locations

  • 1153 Centre St, Jamaica Plain, MA 02130-3446 · (617) 983-7000
  • 3 Mast Rd, Lee, NH 03861-6570 · (603) 945-9692

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2258694 (MA)
Nurse Practitioner Primary 363L00000XRN2258694 (MA)
Registered Nurse 163W00000X117170-21 (NH)
Nurse Practitioner 363L00000X117170-23 (NH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104778000

Jessica Lindsay Reilly, AGPCNP-BC's National Provider Identifier is 1104778000, issued on Feb 12, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Braintree, MA. The record was last updated on Jun 30, 2026.