Individual provider · Type 1 NPI
Jenna Nicole Reilly, PA
Surgical Physician Assistant · White Plains, NY
NPI number
1790611010
Active
Practice location
14 Thelma Pl
White Plains, NY 10605-3809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1790611010
Jenna Nicole Reilly, PA's National Provider Identifier is 1790611010, issued on Jun 23, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in White Plains, NY. The record was last updated on Jun 30, 2026.