Individual provider · Type 1 NPI

Jacqueline Canilao, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Marlton, NJ

NPI number 1194532119 Active

Practice location

141 Route 70 E Ste B
Marlton, NJ 08053-1855

Fax (856) 596-0837

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197

Other practice locations

  • 209 Deerpark Ct, Marlton, NJ 08053-2008 · (856) 278-1527
  • 239 Hurffville Crosskeys Rd Ste 450, Sewell, NJ 08080-4009 · (856) 341-8390
  • 401 Young Ave Ste 245, Moorestown, NJ 08057-3132 · (856) 235-4656

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X26NR15228900 (NJ)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ15228900 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

38 other providers at this address

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About NPI 1194532119

Jacqueline Canilao, PMHNP's National Provider Identifier is 1194532119, issued on Dec 12, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Marlton, NJ. The record was last updated on Feb 5, 2025.