Individual provider · Type 1 NPI
Edelquinne Ann Jacildo
Psychiatric/Mental Health Nurse Practitioner · Marlton, NJ
NPI number
1639893274
Active
Practice location
106 Centre Blvd Ste G
Marlton, NJ 08053-4131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ01373900 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1639893274
Edelquinne Ann Jacildo's National Provider Identifier is 1639893274, issued on Sep 28, 2022. 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 Oct 4, 2022.